Effect of Liraglutide or Exenatide Added to an Ongoing Treatment on Blood Glucose Control in Subjects With Type 2 Diabetes
LEAD-6
2 other identifiers
interventional
467
15 countries
121
Brief Summary
This trial is conducted in Europe and the United States of America (USA). The aim of this trial is to compare the effect on glycaemic control of liraglutide or exenatide when added to subject's ongoing OAD (oral anti-diabetic drug) treatment of either metformin, sulphonylurea or a combination of both in subjects with type 2 diabetes. Two trial periods: A 26 week randomised, followed by a 52 week extension (14 + 38 weeks) where all subjects received liraglutide + OAD after previous randomisation to either liraglutide or exenatide, both combined with OAD treatment.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_3 diabetes
Started Aug 2007
Typical duration for phase_3 diabetes
121 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
August 1, 2007
CompletedFirst Submitted
Initial submission to the registry
August 20, 2007
CompletedFirst Posted
Study publicly available on registry
August 21, 2007
CompletedPrimary Completion
Last participant's last visit for primary outcome
April 1, 2008
CompletedStudy Completion
Last participant's last visit for all outcomes
April 1, 2009
CompletedResults Posted
Study results publicly available
March 23, 2010
CompletedMarch 8, 2017
January 1, 2017
8 months
August 20, 2007
February 23, 2010
January 25, 2017
Conditions
Outcome Measures
Primary Outcomes (1)
Change in Glycosylated A1c (HbA1c) at Week 26
Percentage point change in glycosylated A1c (HbA1c) from baseline (week 0) to 26 weeks (end of randomisation)
week 0, week 26
Secondary Outcomes (54)
Change in Glycosylated A1c (HbA1c), Weeks 26-78
week 26, week 78
Change in Glycosylated A1c (HbA1c) at Week 78
week 0, week 78
Percentage of Subjects Achieving Treatment Target of Either HbA1c < 7.0% or =< 6.5% at Week 26
week 0, week 26
Percentage of Subjects Achieving Treatment Target of Either HbA1c < 7.0% or =< 6.5% at Week 78
week 0, week 78
Change in Body Weight at Week 26
week 0, week 26
- +49 more secondary outcomes
Study Arms (2)
Liraglutide
EXPERIMENTALLiraglutide 1.8 mg once daily + subject's own OAD treatment
Exenatide
ACTIVE COMPARATORExenatide 10 mcg twice daily + subject's own OAD treatment
Interventions
Eligibility Criteria
You may qualify if:
- Type 2 diabetes
- Stable treatment with Oral Anti-Diabetic Drugs (metformin, sulphonylurea or a combination of both) for at least 3 months at the discretion of the Investigator
- HbA1C equal to or greater than 7.0% and equal to or lower than 11.0%
- Body Mass Index (BMI) equal to or lower than 45.0 kg/m2
You may not qualify if:
- Previous treatment with insulin
- Treatment with any anti-diabetic drug other than metformin and sulphonylurea
- Any previous exposure to exenatide or liraglutide
- Impaired liver or/and renal function
- History of any significant cardiac events
- Known retinopathy or maculopathy requiring acute treatment
- Recurrent major hypoglycaemia or hypoglycaemic unawareness
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Novo Nordisk A/Slead
Study Sites (125)
Novo Nordisk Investigational Site
Birmingham, Alabama, 35242, United States
Novo Nordisk Investigational Site
Goodyear, Arizona, 85395, United States
Novo Nordisk Investigational Site
Artesia, California, 90701, United States
Novo Nordisk Investigational Site
Encino, California, 91436, United States
Novo Nordisk Investigational Site
Escondido, California, 92025, United States
Novo Nordisk Investigational Site
Los Angeles, California, 90057, United States
Novo Nordisk Investigational Site
Orange, California, 92869, United States
Novo Nordisk Investigational Site
Sacramento, California, 95816, United States
Novo Nordisk Investigational Site
San Mateo, California, 94401, United States
Novo Nordisk Investigational Site
Spring Valley, California, 91978, United States
Novo Nordisk Investigational Site
Walnut Creek, California, 94598, United States
Novo Nordisk Investigational Site
Fort Myers, Florida, 33907, United States
Novo Nordisk Investigational Site
Hollywood, Florida, 33023, United States
Novo Nordisk Investigational Site
Jacksonville, Florida, 32205, United States
Novo Nordisk Investigational Site
Jacksonville, Florida, 32216, United States
Novo Nordisk Investigational Site
Jacksonville, Florida, 32259, United States
Novo Nordisk Investigational Site
Longwood, Florida, 32779, United States
Novo Nordisk Investigational Site
Ocala, Florida, 34471, United States
Novo Nordisk Investigational Site
Pembroke Pines, Florida, 33029, United States
Novo Nordisk Investigational Site
Plantation, Florida, 33324, United States
Novo Nordisk Investigational Site
Saint Cloud, Florida, 34769, United States
Novo Nordisk Investigational Site
Atlanta, Georgia, 30318, United States
Novo Nordisk Investigational Site
Powder Springs, Georgia, 30127, United States
Novo Nordisk Investigational Site
Roswell, Georgia, 30076, United States
Novo Nordisk Investigational Site
Idaho Falls, Idaho, 83404-7596, United States
Novo Nordisk Investigational Site
Chicago, Illinois, 60616, United States
Novo Nordisk Investigational Site
Peoria, Illinois, 61615, United States
Novo Nordisk Investigational Site
Evansville, Indiana, 47714, United States
Novo Nordisk Investigational Site
Des Moines, Iowa, 50314-3027, United States
Novo Nordisk Investigational Site
New Orleans, Louisiana, 70121, United States
Novo Nordisk Investigational Site
Minneapolis, Minnesota, 55416, United States
Novo Nordisk Investigational Site
Saint Paul, Minnesota, 55108, United States
Novo Nordisk Investigational Site
City of Saint Peters, Missouri, 63376, United States
Novo Nordisk Investigational Site
Flemington, New Jersey, 08822, United States
Novo Nordisk Investigational Site
South Bound Brook, New Jersey, 08880, United States
Novo Nordisk Investigational Site
Northport, New York, 11768, United States
Novo Nordisk Investigational Site
Chapel Hill, North Carolina, 27517, United States
Novo Nordisk Investigational Site
Canton, Ohio, 44718, United States
Novo Nordisk Investigational Site
Cincinnati, Ohio, 45206, United States
Novo Nordisk Investigational Site
Dayton, Ohio, 45439, United States
Novo Nordisk Investigational Site
Kettering, Ohio, 45429, 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
Altoona, Pennsylvania, 16602, United States
Novo Nordisk Investigational Site
Philadelphia, Pennsylvania, 19152, United States
Novo Nordisk Investigational Site
Pittsburgh, Pennsylvania, 15213, United States
Novo Nordisk Investigational Site
Sumter, South Carolina, 29150, United States
Novo Nordisk Investigational Site
Chattanooga, Tennessee, 37404, United States
Novo Nordisk Investigational Site
Austin, Texas, 78731, United States
Novo Nordisk Investigational Site
Corpus Christi, Texas, 78412, 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, 77030, 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
Newport News, Virginia, 23606, United States
Novo Nordisk Investigational Site
Richmond, Virginia, 23294, United States
Novo Nordisk Investigational Site
Olympia, Washington, 98502, United States
Novo Nordisk Investigational Site
Spokane, Washington, 99218, United States
Novo Nordisk Investigational Site
Milwaukee, Wisconsin, 53209, United States
Novo Nordisk Investigational Site
Graz, 8036, Austria
Novo Nordisk Investigational Site
Vienna, 1030, Austria
Novo Nordisk Investigational Site
Vienna, 1130, Austria
Novo Nordisk Investigational Site
Aalborg, 9000, Denmark
Novo Nordisk Investigational Site
Århus C, 8000, Denmark
Novo Nordisk Investigational Site
Gentofte Municipality, 2820, Denmark
Novo Nordisk Investigational Site
Hvidovre, 2650, Denmark
Novo Nordisk Investigational Site
Odense, 5000, Denmark
Novo Nordisk Investigational Site
Helsinki, 00029, Finland
Novo Nordisk Investigational Site
Lahti, 15110, Finland
Novo Nordisk Investigational Site
Oulu, FI-90100, Finland
Novo Nordisk Investigational Site
Antibes, 06600, France
Novo Nordisk Investigational Site
Dommartin-lès-Toul, 54201, France
Novo Nordisk Investigational Site
La Rochelle, 17019, France
Novo Nordisk Investigational Site
Narbonne, 11108, France
Novo Nordisk Investigational Site
Nevers, 58033, France
Novo Nordisk Investigational Site
Bochum, 44791, Germany
Novo Nordisk Investigational Site
Dreieich-Sprendlingen, 63303, Germany
Novo Nordisk Investigational Site
Falkensee, 14612, Germany
Novo Nordisk Investigational Site
Frankfurt, 60388, Germany
Novo Nordisk Investigational Site
Hamburg, 22607, Germany
Novo Nordisk Investigational Site
Hanover, 30625, Germany
Novo Nordisk Investigational Site
Herrenberg, 71083, Germany
Novo Nordisk Investigational Site
Lampertheim, 68623, Germany
Novo Nordisk Investigational Site
Ludwigshafen, 67059, Germany
Novo Nordisk Investigational Site
Marburg, 35039, Germany
Novo Nordisk Investigational Site
Pohlheim, 35415, Germany
Novo Nordisk Investigational Site
Rehlingen-Siersburg, 66780, Germany
Novo Nordisk Investigational Site
Speyer, 67346, Germany
Novo Nordisk Investigational Site
Tübingen, 72072, Germany
Novo Nordisk Investigational Site
Dublin, DUBLIN 7, Ireland
Novo Nordisk Investigational Site
Dublin, DUBLIN 8, Ireland
Novo Nordisk Investigational Site
Dublin, Ireland
Novo Nordisk Investigational Site
Skopje, 1000, North Macedonia
Novo Nordisk Investigational Site
Bergen, 5021, Norway
Novo Nordisk Investigational Site
Bergen, NO-5012, Norway
Novo Nordisk Investigational Site
Stavanger, 4011, Norway
Novo Nordisk Investigational Site
Trondheim, NO-7030, Norway
Novo Nordisk Investigational Site
Bydgoszcz, 85-822, Poland
Novo Nordisk Investigational Site
Gniewkowo, 88-140, Poland
Novo Nordisk Investigational Site
Krakow, 31-501, Poland
Novo Nordisk Investigational Site
Lublin, 20-081, Poland
Novo Nordisk Investigational Site
Poznan, 60-821, Poland
Novo Nordisk Investigational Site
Tychy, 43-100, Poland
Novo Nordisk Investigational Site
Warsaw, 01-911, Poland
Novo Nordisk Investigational Site
Wroclaw, 50-127, Poland
Novo Nordisk Investigational Site
Zabrze, 41-800, Poland
Novo Nordisk Investigational Site
Manatí, 00674, Puerto Rico
Novo Nordisk Investigational Site
Alba Iulia, Alba, 510053, Romania
Novo Nordisk Investigational Site
Suceava, Suceava, 720237, Romania
Novo Nordisk Investigational Site
Reşiţa, 320076, Romania
Novo Nordisk Investigational Site
Koper, SI-6000, Slovenia
Novo Nordisk Investigational Site
Ljubljana, 1525, Slovenia
Novo Nordisk Investigational Site
Novo Mesto, 8000, Slovenia
Novo Nordisk Investigational Site
L'Hospitalet de Llobregat, 08907, Spain
Novo Nordisk Investigational Site
Oviedo, 33006, Spain
Novo Nordisk Investigational Site
Palma de Mallorca, 07010, Spain
Novo Nordisk Investigational Site
Puerto del Rosario, 35600, Spain
Novo Nordisk Investigational Site
Stockholm, 141 86, Sweden
Novo Nordisk Investigational Site
Stockholm, 171 76, Sweden
Novo Nordisk Investigational Site
Basel, 4031, Switzerland
Novo Nordisk Investigational Site
Bern, 3010, Switzerland
Novo Nordisk Investigational Site
Geneva, 1211, Switzerland
Novo Nordisk Investigational Site
Lugano, 6900, Switzerland
Related Publications (16)
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.
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: 19491536RESULTBuse JB, Rosenstock J, Sesti G, Schmidt WE, Montanya E, Brett JH, Zychma M, Blonde L; LEAD-6 Study Group. Liraglutide once a day versus exenatide twice a day for type 2 diabetes: a 26-week randomised, parallel-group, multinational, open-label trial (LEAD-6). Lancet. 2009 Jul 4;374(9683):39-47. doi: 10.1016/S0140-6736(09)60659-0. Epub 2009 Jun 8.
PMID: 19515413RESULTBuse JB, Sesti G, Schmidt WE, Montanya E, Chang CT, Xu Y, Blonde L, Rosenstock J; Liraglutide Effect Action in Diabetes-6 Study Group. Switching to once-daily liraglutide from twice-daily exenatide further improves glycemic control in patients with type 2 diabetes using oral agents. Diabetes Care. 2010 Jun;33(6):1300-3. doi: 10.2337/dc09-2260. Epub 2010 Mar 23.
PMID: 20332351RESULTSchmidt WE, Christiansen JS, Hammer M, Zychma MJ, Buse JB. Patient-reported outcomes are superior in patients with Type 2 diabetes treated with liraglutide as compared with exenatide, when added to metformin, sulphonylurea or both: results from a randomized, open-label study. Diabet Med. 2011 Jun;28(6):715-23. doi: 10.1111/j.1464-5491.2011.03276.x.
PMID: 21388442RESULTBuse 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: 21450987RESULTValentine WJ, Palmer AJ, Lammert M, Langer J, Brandle M. Evaluating the long-term cost-effectiveness of liraglutide versus exenatide BID in patients with type 2 diabetes who fail to improve with oral antidiabetic agents. Clin Ther. 2011 Nov;33(11):1698-712. doi: 10.1016/j.clinthera.2011.09.022. Epub 2011 Oct 21.
PMID: 22018679RESULTBode 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: 22193143RESULTZinman 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: 25504028RESULTDavidson 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: 24561125DERIVED
Related Links
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
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
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
August 20, 2007
First Posted
August 21, 2007
Study Start
August 1, 2007
Primary Completion
April 1, 2008
Study Completion
April 1, 2009
Last Updated
March 8, 2017
Results First Posted
March 23, 2010
Record last verified: 2017-01