NCT00294723

Brief Summary

This trial is conducted in North America (the United States of America (USA) and Mexico). The trial is designed to evaluate the effects of treatment with liraglutide versus glimepiride in subjects with type 2 diabetes. The trial is a 52-week randomised, double-blind trial period plus a 52-week open-label extension (week 104) followed by an additional 156-week continued open-label extension. The total duration of the treatment period is planned to be 260 weeks (5 years).

Trial Health

60
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
746

participants targeted

Target at P75+ for phase_3 diabetes

Timeline
Completed

Started Feb 2006

Longer than P75 for phase_3 diabetes

Geographic Reach
3 countries

117 active sites

Status
terminated

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

February 1, 2006

Completed
19 days until next milestone

First Submitted

Initial submission to the registry

February 20, 2006

Completed
2 days until next milestone

First Posted

Study publicly available on registry

February 22, 2006

Completed
2.7 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

November 1, 2008

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

November 1, 2008

Completed
1.4 years until next milestone

Results Posted

Study results publicly available

March 12, 2010

Completed
Last Updated

March 7, 2017

Status Verified

January 1, 2017

Enrollment Period

2.8 years

First QC Date

February 20, 2006

Results QC Date

February 23, 2010

Last Update Submit

January 24, 2017

Conditions

Outcome Measures

Primary Outcomes (3)

  • Change in Glycosylated Haemoglobin A1c (HbA1c) at Week 52

    Percentage point change in Glycosylated Haemoglobin A1c (HbA1c) from baseline (week 0) to 52 weeks (end of double-blind period)

    week 0, week 52

  • Change in Glycosylated Haemoglobin A1c (HbA1c) at Week 104

    Percentage point change in Glycosylated Haemoglobin A1c (HbA1c) from baseline (week 0) to 104 weeks (end of 52-week extension)

    week 0, week 104

  • Change in Glycosylated Haemoglobin A1c (HbA1c) at Week 156

    Percentage point change in Glycosylated Haemoglobin A1c (HbA1c) from baseline (week 0) to 156 weeks

    week 0, week 156

Secondary Outcomes (14)

  • Change in Body Weight at Week 52

    week 0, week 52

  • Change in Body Weight at Week 104

    week 0, week 104

  • Change in Body Weight at Week 156

    week 0, week 156

  • Change in Fasting Plasma Glucose at Week 52

    week 0, week 52

  • Change in Fasting Plasma Glucose at Week 104

    week 0, week 104

  • +9 more secondary outcomes

Study Arms (4)

Lira 1.8

EXPERIMENTAL

Liraglutide 1.8 mg once daily + glimepiride placebo 8 mg once daily, weeks 0-52 (double-blinded period) and open-label liraglutide 1.8 mg once daily in the extension periods (weeks 52-195).

Drug: liraglutideDrug: placebo

Lira 1.2

EXPERIMENTAL

Liraglutide 1.2 mg once daily + glimepiride placebo 8 mg once daily, weeks 0-52 (double-blinded period) and open-label liraglutide 1.2 mg once daily in the extension periods (weeks 52-195).

Drug: liraglutideDrug: placebo

Glimepiride - 1

ACTIVE COMPARATOR

Glimepiride 8 mg once daily + liraglutide placebo 200 mcl, weeks 0-52 (double-blinded period) and open-label glimepiride 8 mg once daily in the extension periods (weeks 52-195).

Drug: glimepirideDrug: placebo

Glimepiride - 2

ACTIVE COMPARATOR

Glimepiride 8 mg once daily + liraglutide placebo 300 mcl, weeks 0-52 (double-blinded period) and open-label glimepiride 8 mg once daily in the extension periods (weeks 52-195).

Drug: glimepirideDrug: placebo

Interventions

1.8 mg for s.c. (under the skin) injection

Lira 1.8

8 mg capsule

Glimepiride - 1Glimepiride - 2

Glimepiride placebo, 8mg capsule

Lira 1.2Lira 1.8

Eligibility Criteria

Age18 Years - 80 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Type 2 diabetes
  • TTreatment with diet/exercise or with not more than half maximal dose of oral anti-diabetic drugs alone for at least 2 months
  • Diet/exercise treated subjects with HbA1c between 7.0% and 11%, inclusive
  • OAD (oral anti-diabetic drug) treated subjects with HbA1c between 7.0% and 10%, inclusive
  • Body Mass Index (BMI) less than or equal to 45 kg/m\^2

You may not qualify if:

  • Treatment with insulin for the last 3 months, except short-term treatment for intercurrent illness
  • Treatment with any drug that could interfere with the glucose level (besides use of a single anti-diabetic compound)
  • Any serious medical condition

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (117)

Novo Nordisk Investigational Site

Concord, California, 94520, United States

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Novo Nordisk Investigational Site

Escondido, California, 92025, United States

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Novo Nordisk Investigational Site

Fullerton, California, 92835, United States

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Novo Nordisk Investigational Site

Inglewood, California, 90301, United States

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Novo Nordisk Investigational Site

Mission Viejo, California, 92691, United States

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Novo Nordisk Investigational Site

Orange, California, 92869, United States

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Novo Nordisk Investigational Site

Santa Barbara, California, 93105, United States

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Novo Nordisk Investigational Site

Spring Valley, California, 91978, United States

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Novo Nordisk Investigational Site

Vista, California, 92084, United States

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Novo Nordisk Investigational Site

Walnut Creek, California, 94598, United States

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Novo Nordisk Investigational Site

Daytona Beach, Florida, 32117, United States

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Novo Nordisk Investigational Site

Delray Beach, Florida, 33484, United States

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Novo Nordisk Investigational Site

Jacksonville, Florida, 32205, United States

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Novo Nordisk Investigational Site

Jacksonville, Florida, 32216, United States

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Novo Nordisk Investigational Site

Longwood, Florida, 32779, United States

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Novo Nordisk Investigational Site

Ocala, Florida, 34471, United States

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Novo Nordisk Investigational Site

Saint Cloud, Florida, 34769, United States

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Novo Nordisk Investigational Site

Athens, Georgia, 30606, United States

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Novo Nordisk Investigational Site

Atlanta, Georgia, 30032, United States

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Novo Nordisk Investigational Site

Atlanta, Georgia, 30034, United States

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Novo Nordisk Investigational Site

Atlanta, Georgia, 30318, United States

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Novo Nordisk Investigational Site

Atlanta, Georgia, 30339, United States

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Novo Nordisk Investigational Site

Blue Ridge, Georgia, 30513, United States

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Novo Nordisk Investigational Site

Columbus, Georgia, 31904, United States

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Novo Nordisk Investigational Site

Marietta, Georgia, 30060, United States

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Novo Nordisk Investigational Site

Powder Springs, Georgia, 30127, United States

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Novo Nordisk Investigational Site

Tucker, Georgia, 30084, United States

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Novo Nordisk Investigational Site

Honolulu, Hawaii, 96813, United States

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Novo Nordisk Investigational Site

Chicago, Illinois, 60607, United States

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Novo Nordisk Investigational Site

Chicago, Illinois, 60611, United States

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Novo Nordisk Investigational Site

Maywood, Illinois, 60153, United States

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Novo Nordisk Investigational Site

Indianapolis, Indiana, 46202, United States

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Novo Nordisk Investigational Site

Des Moines, Iowa, 50314, United States

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Novo Nordisk Investigational Site

Shawnee Mission, Kansas, 66204, United States

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Novo Nordisk Investigational Site

Topeka, Kansas, 66606, United States

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Novo Nordisk Investigational Site

Lexington, Kentucky, 40503, United States

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Novo Nordisk Investigational Site

Lexington, Kentucky, 40536, United States

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Novo Nordisk Investigational Site

New Orleans, Louisiana, 70121, United States

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Novo Nordisk Investigational Site

Baltimore, Maryland, 21218, United States

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Novo Nordisk Investigational Site

Hyattsville, Maryland, 20782, United States

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Novo Nordisk Investigational Site

Minneapolis, Minnesota, 55407, United States

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Novo Nordisk Investigational Site

Saint Paul, Minnesota, 55108, United States

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Novo Nordisk Investigational Site

Jackson, Mississippi, 39216, United States

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Novo Nordisk Investigational Site

Tupelo, Mississippi, 38801, United States

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Novo Nordisk Investigational Site

Chesterfield, Missouri, 63017, United States

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Novo Nordisk Investigational Site

City of Saint Peters, Missouri, 63376, United States

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Novo Nordisk Investigational Site

St Louis, Missouri, 63104, United States

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Novo Nordisk Investigational Site

St Louis, Missouri, 63110, United States

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Novo Nordisk Investigational Site

Butte, Montana, 59701, United States

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Novo Nordisk Investigational Site

Omaha, Nebraska, 68114, United States

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Novo Nordisk Investigational Site

Reno, Nevada, 89502, United States

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Novo Nordisk Investigational Site

Berlin, New Jersey, 08009, United States

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Novo Nordisk Investigational Site

Lawrenceville, New Jersey, 08648, United States

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Novo Nordisk Investigational Site

Plainsboro, New Jersey, 08536, United States

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Novo Nordisk Investigational Site

Albany, New York, 12206, United States

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Novo Nordisk Investigational Site

Lewiston, New York, 14092, United States

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Novo Nordisk Investigational Site

New York, New York, 10023, United States

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Novo Nordisk Investigational Site

Northport, New York, 11768, United States

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Novo Nordisk Investigational Site

Staten Island, New York, 10301, United States

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Novo Nordisk Investigational Site

Syracuse, New York, 13210, United States

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Novo Nordisk Investigational Site

West Seneca, New York, 14224, United States

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Novo Nordisk Investigational Site

Asheville, North Carolina, 28803, United States

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Novo Nordisk Investigational Site

Charlotte, North Carolina, 28277, United States

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Novo Nordisk Investigational Site

Durham, North Carolina, 27710, United States

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Novo Nordisk Investigational Site

Greensboro, North Carolina, 27408, United States

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Novo Nordisk Investigational Site

Cleveland, Ohio, 44195, United States

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Novo Nordisk Investigational Site

Dayton, Ohio, 45439, United States

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Novo Nordisk Investigational Site

Mentor, Ohio, 44060, United States

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Novo Nordisk Investigational Site

Oklahoma City, Oklahoma, 73103, United States

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Novo Nordisk Investigational Site

Oklahoma City, Oklahoma, 73104, United States

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Novo Nordisk Investigational Site

Tulsa, Oklahoma, 74104, United States

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Novo Nordisk Investigational Site

Bend, Oregon, 97710, United States

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Novo Nordisk Investigational Site

Eugene, Oregon, 97401, United States

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Novo Nordisk Investigational Site

Medford, Oregon, 97504-8491, United States

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Novo Nordisk Investigational Site

Medford, Oregon, 97504, United States

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Novo Nordisk Investigational Site

Lancaster, Pennsylvania, 17601, United States

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Novo Nordisk Investigational Site

Norristown, Pennsylvania, 19401, United States

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Novo Nordisk Investigational Site

Philadelphia, Pennsylvania, 19107, United States

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Novo Nordisk Investigational Site

East Providence, Rhode Island, 02914, United States

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Novo Nordisk Investigational Site

Greer, South Carolina, 29651, United States

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Novo Nordisk Investigational Site

Spartanburg, South Carolina, 29303, United States

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Novo Nordisk Investigational Site

Chattanooga, Tennessee, 37411, United States

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Novo Nordisk Investigational Site

Arlington, Texas, 76014, United States

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Novo Nordisk Investigational Site

Corpus Christi, Texas, 78412, United States

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Novo Nordisk Investigational Site

Dallas, Texas, 75208, United States

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Novo Nordisk Investigational Site

Dallas, Texas, 75224, United States

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Novo Nordisk Investigational Site

Dallas, Texas, 75230, United States

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Novo Nordisk Investigational Site

Dallas, Texas, 75231, United States

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Novo Nordisk Investigational Site

Dallas, Texas, 75246, United States

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Novo Nordisk Investigational Site

Houston, Texas, 77024, United States

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Novo Nordisk Investigational Site

Houston, Texas, 77025, United States

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Novo Nordisk Investigational Site

Houston, Texas, 77030, United States

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Novo Nordisk Investigational Site

Houston, Texas, 77074, United States

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Novo Nordisk Investigational Site

Midland, Texas, 79707, United States

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Novo Nordisk Investigational Site

San Antonio, Texas, 78229, United States

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Novo Nordisk Investigational Site

Salt Lake City, Utah, 84132, United States

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Novo Nordisk Investigational Site

Richmond, Virginia, 23249, United States

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Novo Nordisk Investigational Site

Edmonds, Washington, 98026-7610, United States

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Novo Nordisk Investigational Site

Olympia, Washington, 98502, United States

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Novo Nordisk Investigational Site

Renton, Washington, 98057, United States

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Novo Nordisk Investigational Site

Spokane, Washington, 99218, United States

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Novo Nordisk Investigational Site

Tacoma, Washington, 98405, United States

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Novo Nordisk Investigational Site

Guadalajara, Jalisco, 44650, Mexico

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Novo Nordisk Investigational Site

Cuernavaca, Morelos, 62250, Mexico

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Novo Nordisk Investigational Site

Monterrey, Nuevo León, 64460, Mexico

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Novo Nordisk Investigational Site

Chihuahua, Chih, 31000, Mexico

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Novo Nordisk Investigational Site

Ciudad de México, D.F., 06100, Mexico

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Novo Nordisk Investigational Site

Ciudad de México, D.F., 14050, Mexico

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Novo Nordisk Investigational Site

Guadalajara, 44600, Mexico

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Novo Nordisk Investigational Site

Hermosillo, Son., 83000, Mexico

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Novo Nordisk Investigational Site

Mexico City, 01120, Mexico

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Novo Nordisk Investigational Site

Mexico City, 06700, Mexico

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Novo Nordisk Investigational Site

Monterrey, N.L., 64000, Mexico

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Novo Nordisk Investigational Site

Monterrey, NL, 66260, Mexico

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Novo Nordisk Investigational Site

Santiago de Querétaro, Qro., 76178, Mexico

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Novo Nordisk Investigational Site

Tampico, 80109, Mexico

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Novo Nordisk Investigational Site

Rio Piedras, 00921, Puerto Rico

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Related Publications (19)

  • Garber A, Henry R, Ratner R, Garcia-Hernandez PA, Rodriguez-Pattzi H, Olvera-Alvarez I, Hale PM, Zdravkovic M, Bode B; LEAD-3 (Mono) Study Group. Liraglutide versus glimepiride monotherapy for type 2 diabetes (LEAD-3 Mono): a randomised, 52-week, phase III, double-blind, parallel-treatment trial. Lancet. 2009 Feb 7;373(9662):473-81. doi: 10.1016/S0140-6736(08)61246-5. Epub 2008 Sep 24.

  • Sullivan SD, Alfonso-Cristancho R, Conner C, Hammer M, Blonde L. Long-term outcomes in patients with type 2 diabetes receiving glimepiride combined with liraglutide or rosiglitazone. Cardiovasc Diabetol. 2009 Feb 26;8:12. doi: 10.1186/1475-2840-8-12.

  • McGill JB. Insights from the Liraglutide Clinical Development Program--the Liraglutide Effect and Action in Diabetes (LEAD) studies. Postgrad Med. 2009 May;121(3):16-25. doi: 10.3810/pgm.2009.05.1998.

  • Blonde L, Russell-Jones D. The safety and efficacy of liraglutide with or without oral antidiabetic drug therapy in type 2 diabetes: an overview of the LEAD 1-5 studies. Diabetes Obes Metab. 2009 Dec;11 Suppl 3:26-34. doi: 10.1111/j.1463-1326.2009.01075.x.

  • Jendle J, Nauck MA, Matthews DR, Frid A, Hermansen K, During M, Zdravkovic M, Strauss BJ, Garber AJ; LEAD-2 and LEAD-3 Study Groups. Weight loss with liraglutide, a once-daily human glucagon-like peptide-1 analogue for type 2 diabetes treatment as monotherapy or added to metformin, is primarily as a result of a reduction in fat tissue. Diabetes Obes Metab. 2009 Dec;11(12):1163-72. doi: 10.1111/j.1463-1326.2009.01158.x.

  • Bode BW, Testa MA, Magwire M, Hale PM, Hammer M, Blonde L, Garber A; LEAD-3 Study Group. Patient-reported outcomes following treatment with the human GLP-1 analogue liraglutide or glimepiride in monotherapy: results from a randomized controlled trial in patients with type 2 diabetes. Diabetes Obes Metab. 2010 Jul;12(7):604-12. doi: 10.1111/j.1463-1326.2010.01196.x.

  • Buse JB, Garber A, Rosenstock J, Schmidt WE, Brett JH, Videbaek N, Holst J, Nauck M. Liraglutide treatment is associated with a low frequency and magnitude of antibody formation with no apparent impact on glycemic response or increased frequency of adverse events: results from the Liraglutide Effect and Action in Diabetes (LEAD) trials. J Clin Endocrinol Metab. 2011 Jun;96(6):1695-702. doi: 10.1210/jc.2010-2822. Epub 2011 Mar 30.

  • Bode BW, Brett J, Falahati A, Pratley RE. Comparison of the efficacy and tolerability profile of liraglutide, a once-daily human GLP-1 analog, in patients with type 2 diabetes >/=65 and <65 years of age: a pooled analysis from phase III studies. Am J Geriatr Pharmacother. 2011 Dec;9(6):423-33. doi: 10.1016/j.amjopharm.2011.09.007. Epub 2011 Nov 4.

  • Henry RR, Buse JB, Sesti G, Davies MJ, Jensen KH, Brett J, Pratley RE. Efficacy of antihyperglycemic therapies and the influence of baseline hemoglobin A(1C): a meta-analysis of the liraglutide development program. Endocr Pract. 2011 Nov-Dec;17(6):906-13. doi: 10.4158/ep.17.6.906.

  • Ingwersen SH, Khurana M, Madabushi R, Watson E, Jonker DM, Le Thi TD, Jacobsen LV, Tornoe CW. Dosing rationale for liraglutide in type 2 diabetes mellitus: a pharmacometric assessment. J Clin Pharmacol. 2012 Dec;52(12):1815-23. doi: 10.1177/0091270011430504. Epub 2011 Dec 15.

  • Zinman B, Schmidt WE, Moses A, Lund N, Gough S. Achieving a clinically relevant composite outcome of an HbA1c of <7% without weight gain or hypoglycaemia in type 2 diabetes: a meta-analysis of the liraglutide clinical trial programme. Diabetes Obes Metab. 2012 Jan;14(1):77-82. doi: 10.1111/j.1463-1326.2011.01493.x. Epub 2011 Oct 30.

  • Niswender K, Pi-Sunyer X, Buse J, Jensen KH, Toft AD, Russell-Jones D, Zinman B. Weight change with liraglutide and comparator therapies: an analysis of seven phase 3 trials from the liraglutide diabetes development programme. Diabetes Obes Metab. 2013 Jan;15(1):42-54. doi: 10.1111/j.1463-1326.2012.01673.x. Epub 2012 Sep 9.

  • Alves C, Batel-Marques F, Macedo AF. A meta-analysis of serious adverse events reported with exenatide and liraglutide: acute pancreatitis and cancer. Diabetes Res Clin Pract. 2012 Nov;98(2):271-84. doi: 10.1016/j.diabres.2012.09.008. Epub 2012 Sep 23.

  • King AB, Montanya E, Pratley RE, Blonde L, Svendsen CB, Donsmark M, Sesti G. Liraglutide achieves A1C targets more often than sitagliptin or exenatide when added to metformin in patients with type 2 diabetes and a baseline A1C <8.0%. Endocr Pract. 2013 Jan-Feb;19(1):64-72. doi: 10.4158/EP12232.OR.

  • Jensen TM, Saha K, Steinberg WM. Is there a link between liraglutide and pancreatitis? A post hoc review of pooled and patient-level data from completed liraglutide type 2 diabetes clinical trials. Diabetes Care. 2015 Jun;38(6):1058-66. doi: 10.2337/dc13-1210. Epub 2014 Dec 12.

  • Gilbert MP, Marre M, Holst JJ, Garber A, Baeres FM, Thomsen H, Pratley RE. COMPARISON OF THE LONG-TERM EFFECTS OF LIRAGLUTIDE AND GLIMEPIRIDE MONOTHERAPY ON BONE MINERAL DENSITY IN PATIENTS WITH TYPE 2 DIABETES. Endocr Pract. 2016 Apr;22(4):406-11. doi: 10.4158/EP15758.OR. Epub 2015 Nov 17.

  • Davidson JA, Orsted DD, Campos C. Efficacy and safety of liraglutide, a once-daily human glucagon-like peptide-1 analogue, in Latino/Hispanic patients with type 2 diabetes: post hoc analysis of data from four phase III trials. Diabetes Obes Metab. 2016 Jul;18(7):725-8. doi: 10.1111/dom.12653. Epub 2016 Apr 28.

  • Fonseca VA, Devries JH, Henry RR, Donsmark M, Thomsen HF, Plutzky J. Reductions in systolic blood pressure with liraglutide in patients with type 2 diabetes: insights from a patient-level pooled analysis of six randomized clinical trials. J Diabetes Complications. 2014 May-Jun;28(3):399-405. doi: 10.1016/j.jdiacomp.2014.01.009. Epub 2014 Jan 21.

  • Hegedus L, Moses AC, Zdravkovic M, Le Thi T, Daniels GH. GLP-1 and calcitonin concentration in humans: lack of evidence of calcitonin release from sequential screening in over 5000 subjects with type 2 diabetes or nondiabetic obese subjects treated with the human GLP-1 analog, liraglutide. J Clin Endocrinol Metab. 2011 Mar;96(3):853-60. doi: 10.1210/jc.2010-2318. Epub 2011 Jan 5.

Related Links

MeSH Terms

Conditions

Diabetes MellitusDiabetes Mellitus, Type 2

Interventions

Liraglutideglimepiride

Condition Hierarchy (Ancestors)

Glucose Metabolism DisordersMetabolic DiseasesNutritional and Metabolic DiseasesEndocrine System Diseases

Intervention Hierarchy (Ancestors)

Glucagon-Like Peptide 1Glucagon-Like PeptidesProglucagonGastrointestinal HormonesHormonesHormones, Hormone Substitutes, and Hormone Antagonists

Limitations and Caveats

Trial terminated due to an insufficient number of subjects remaining to obtain reasonable statistical power. Efficacy data was not analysed after week 156. Safety data was collected through week 195. No data was available from week 195 to 260

Results Point of Contact

Title
Public Access to Clinical Trials
Organization
Novo Nordisk A/S

Study Officials

  • Global Clinical Registry (GCR, 1452)

    Novo Nordisk A/S

    STUDY DIRECTOR

Publication Agreements

PI is Sponsor Employee
No
Restriction Type
OTHER
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, INVESTIGATOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

February 20, 2006

First Posted

February 22, 2006

Study Start

February 1, 2006

Primary Completion

November 1, 2008

Study Completion

November 1, 2008

Last Updated

March 7, 2017

Results First Posted

March 12, 2010

Record last verified: 2017-01

Locations