Study Stopped
The trial was terminated at week 195 due to an insufficient number of subjects remaining to obtain reasonable statistical power
To Evaluate the Effect of Liraglutide Versus Glimepiride (Amaryl®) on Haemoglobin A1c
LEAD-3
Liraglutide Effect and Action in Diabetes (LEAD-3): Effect on Glycemic Control of Liraglutide Versus Glimepiride in Type 2 Diabetes
1 other identifier
interventional
746
3 countries
117
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
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_3 diabetes
Started Feb 2006
Longer than P75 for phase_3 diabetes
117 active sites
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
CompletedFirst Submitted
Initial submission to the registry
February 20, 2006
CompletedFirst Posted
Study publicly available on registry
February 22, 2006
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 1, 2008
CompletedStudy Completion
Last participant's last visit for all outcomes
November 1, 2008
CompletedResults Posted
Study results publicly available
March 12, 2010
CompletedMarch 7, 2017
January 1, 2017
2.8 years
February 20, 2006
February 23, 2010
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
EXPERIMENTALLiraglutide 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).
Lira 1.2
EXPERIMENTALLiraglutide 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).
Glimepiride - 1
ACTIVE COMPARATORGlimepiride 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).
Glimepiride - 2
ACTIVE COMPARATORGlimepiride 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).
Interventions
Eligibility Criteria
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
- Novo Nordisk A/Slead
Study Sites (117)
Novo Nordisk Investigational Site
Concord, California, 94520, United States
Novo Nordisk Investigational Site
Escondido, California, 92025, United States
Novo Nordisk Investigational Site
Fullerton, California, 92835, United States
Novo Nordisk Investigational Site
Inglewood, California, 90301, United States
Novo Nordisk Investigational Site
Mission Viejo, California, 92691, United States
Novo Nordisk Investigational Site
Orange, California, 92869, United States
Novo Nordisk Investigational Site
Santa Barbara, California, 93105, United States
Novo Nordisk Investigational Site
Spring Valley, California, 91978, United States
Novo Nordisk Investigational Site
Vista, California, 92084, United States
Novo Nordisk Investigational Site
Walnut Creek, California, 94598, United States
Novo Nordisk Investigational Site
Daytona Beach, Florida, 32117, United States
Novo Nordisk Investigational Site
Delray Beach, Florida, 33484, United States
Novo Nordisk Investigational Site
Jacksonville, Florida, 32205, United States
Novo Nordisk Investigational Site
Jacksonville, Florida, 32216, United States
Novo Nordisk Investigational Site
Longwood, Florida, 32779, United States
Novo Nordisk Investigational Site
Ocala, Florida, 34471, United States
Novo Nordisk Investigational Site
Saint Cloud, Florida, 34769, United States
Novo Nordisk Investigational Site
Athens, Georgia, 30606, United States
Novo Nordisk Investigational Site
Atlanta, Georgia, 30032, United States
Novo Nordisk Investigational Site
Atlanta, Georgia, 30034, United States
Novo Nordisk Investigational Site
Atlanta, Georgia, 30318, United States
Novo Nordisk Investigational Site
Atlanta, Georgia, 30339, United States
Novo Nordisk Investigational Site
Blue Ridge, Georgia, 30513, United States
Novo Nordisk Investigational Site
Columbus, Georgia, 31904, United States
Novo Nordisk Investigational Site
Marietta, Georgia, 30060, United States
Novo Nordisk Investigational Site
Powder Springs, Georgia, 30127, United States
Novo Nordisk Investigational Site
Tucker, Georgia, 30084, United States
Novo Nordisk Investigational Site
Honolulu, Hawaii, 96813, United States
Novo Nordisk Investigational Site
Chicago, Illinois, 60607, United States
Novo Nordisk Investigational Site
Chicago, Illinois, 60611, United States
Novo Nordisk Investigational Site
Maywood, Illinois, 60153, United States
Novo Nordisk Investigational Site
Indianapolis, Indiana, 46202, United States
Novo Nordisk Investigational Site
Des Moines, Iowa, 50314, United States
Novo Nordisk Investigational Site
Shawnee Mission, Kansas, 66204, United States
Novo Nordisk Investigational Site
Topeka, Kansas, 66606, United States
Novo Nordisk Investigational Site
Lexington, Kentucky, 40503, United States
Novo Nordisk Investigational Site
Lexington, Kentucky, 40536, United States
Novo Nordisk Investigational Site
New Orleans, Louisiana, 70121, United States
Novo Nordisk Investigational Site
Baltimore, Maryland, 21218, United States
Novo Nordisk Investigational Site
Hyattsville, Maryland, 20782, United States
Novo Nordisk Investigational Site
Minneapolis, Minnesota, 55407, United States
Novo Nordisk Investigational Site
Saint Paul, Minnesota, 55108, United States
Novo Nordisk Investigational Site
Jackson, Mississippi, 39216, United States
Novo Nordisk Investigational Site
Tupelo, Mississippi, 38801, United States
Novo Nordisk Investigational Site
Chesterfield, Missouri, 63017, United States
Novo Nordisk Investigational Site
City of Saint Peters, Missouri, 63376, United States
Novo Nordisk Investigational Site
St Louis, Missouri, 63104, United States
Novo Nordisk Investigational Site
St Louis, Missouri, 63110, United States
Novo Nordisk Investigational Site
Butte, Montana, 59701, United States
Novo Nordisk Investigational Site
Omaha, Nebraska, 68114, United States
Novo Nordisk Investigational Site
Reno, Nevada, 89502, United States
Novo Nordisk Investigational Site
Berlin, New Jersey, 08009, United States
Novo Nordisk Investigational Site
Lawrenceville, New Jersey, 08648, United States
Novo Nordisk Investigational Site
Plainsboro, New Jersey, 08536, United States
Novo Nordisk Investigational Site
Albany, New York, 12206, United States
Novo Nordisk Investigational Site
Lewiston, New York, 14092, United States
Novo Nordisk Investigational Site
New York, New York, 10023, United States
Novo Nordisk Investigational Site
Northport, New York, 11768, United States
Novo Nordisk Investigational Site
Staten Island, New York, 10301, United States
Novo Nordisk Investigational Site
Syracuse, New York, 13210, United States
Novo Nordisk Investigational Site
West Seneca, New York, 14224, United States
Novo Nordisk Investigational Site
Asheville, North Carolina, 28803, United States
Novo Nordisk Investigational Site
Charlotte, North Carolina, 28277, United States
Novo Nordisk Investigational Site
Durham, North Carolina, 27710, United States
Novo Nordisk Investigational Site
Greensboro, North Carolina, 27408, United States
Novo Nordisk Investigational Site
Cleveland, Ohio, 44195, United States
Novo Nordisk Investigational Site
Dayton, Ohio, 45439, United States
Novo Nordisk Investigational Site
Mentor, Ohio, 44060, United States
Novo Nordisk Investigational Site
Oklahoma City, Oklahoma, 73103, United States
Novo Nordisk Investigational Site
Oklahoma City, Oklahoma, 73104, United States
Novo Nordisk Investigational Site
Tulsa, Oklahoma, 74104, United States
Novo Nordisk Investigational Site
Bend, Oregon, 97710, United States
Novo Nordisk Investigational Site
Eugene, Oregon, 97401, United States
Novo Nordisk Investigational Site
Medford, Oregon, 97504-8491, United States
Novo Nordisk Investigational Site
Medford, Oregon, 97504, United States
Novo Nordisk Investigational Site
Lancaster, Pennsylvania, 17601, United States
Novo Nordisk Investigational Site
Norristown, Pennsylvania, 19401, United States
Novo Nordisk Investigational Site
Philadelphia, Pennsylvania, 19107, United States
Novo Nordisk Investigational Site
East Providence, Rhode Island, 02914, United States
Novo Nordisk Investigational Site
Greer, South Carolina, 29651, United States
Novo Nordisk Investigational Site
Spartanburg, South Carolina, 29303, United States
Novo Nordisk Investigational Site
Chattanooga, Tennessee, 37411, United States
Novo Nordisk Investigational Site
Arlington, Texas, 76014, United States
Novo Nordisk Investigational Site
Corpus Christi, Texas, 78412, United States
Novo Nordisk Investigational Site
Dallas, Texas, 75208, United States
Novo Nordisk Investigational Site
Dallas, Texas, 75224, United States
Novo Nordisk Investigational Site
Dallas, Texas, 75230, United States
Novo Nordisk Investigational Site
Dallas, Texas, 75231, United States
Novo Nordisk Investigational Site
Dallas, Texas, 75246, United States
Novo Nordisk Investigational Site
Houston, Texas, 77024, United States
Novo Nordisk Investigational Site
Houston, Texas, 77025, United States
Novo Nordisk Investigational Site
Houston, Texas, 77030, United States
Novo Nordisk Investigational Site
Houston, Texas, 77074, United States
Novo Nordisk Investigational Site
Midland, Texas, 79707, United States
Novo Nordisk Investigational Site
San Antonio, Texas, 78229, United States
Novo Nordisk Investigational Site
Salt Lake City, Utah, 84132, United States
Novo Nordisk Investigational Site
Richmond, Virginia, 23249, United States
Novo Nordisk Investigational Site
Edmonds, Washington, 98026-7610, United States
Novo Nordisk Investigational Site
Olympia, Washington, 98502, United States
Novo Nordisk Investigational Site
Renton, Washington, 98057, United States
Novo Nordisk Investigational Site
Spokane, Washington, 99218, United States
Novo Nordisk Investigational Site
Tacoma, Washington, 98405, United States
Novo Nordisk Investigational Site
Guadalajara, Jalisco, 44650, Mexico
Novo Nordisk Investigational Site
Cuernavaca, Morelos, 62250, Mexico
Novo Nordisk Investigational Site
Monterrey, Nuevo León, 64460, Mexico
Novo Nordisk Investigational Site
Chihuahua, Chih, 31000, Mexico
Novo Nordisk Investigational Site
Ciudad de México, D.F., 06100, Mexico
Novo Nordisk Investigational Site
Ciudad de México, D.F., 14050, Mexico
Novo Nordisk Investigational Site
Guadalajara, 44600, Mexico
Novo Nordisk Investigational Site
Hermosillo, Son., 83000, Mexico
Novo Nordisk Investigational Site
Mexico City, 01120, Mexico
Novo Nordisk Investigational Site
Mexico City, 06700, Mexico
Novo Nordisk Investigational Site
Monterrey, N.L., 64000, Mexico
Novo Nordisk Investigational Site
Monterrey, NL, 66260, Mexico
Novo Nordisk Investigational Site
Santiago de Querétaro, Qro., 76178, Mexico
Novo Nordisk Investigational Site
Tampico, 80109, Mexico
Novo Nordisk Investigational Site
Rio Piedras, 00921, Puerto Rico
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.
PMID: 18819705RESULTSullivan 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.
PMID: 19245711RESULTMcGill 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.
PMID: 19491536RESULTBlonde 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.
PMID: 19878259RESULTJendle 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.
PMID: 19930006RESULTBode 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.
PMID: 20590735RESULTBuse 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.
PMID: 21450987RESULTBode 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.
PMID: 22055210RESULTHenry 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.
PMID: 22193143RESULTIngwersen 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.
PMID: 22174428RESULTZinman 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.
PMID: 21883806RESULTNiswender 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.
PMID: 22862847RESULTAlves 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.
PMID: 23010561RESULTKing 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.
PMID: 23186975RESULTJensen 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.
PMID: 25504028RESULTGilbert 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.
PMID: 26574791RESULTDavidson 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.
PMID: 26936426RESULTFonseca 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.
PMID: 24561125DERIVEDHegedus 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.
PMID: 21209033DERIVED
Related Links
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
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
- STUDY DIRECTOR
Global Clinical Registry (GCR, 1452)
Novo Nordisk A/S
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