Efficacy and Safety of Lixisenatide Versus Insulin Glulisine on Top of Insulin Glargine With or Without Metformin in Type 2 Diabetic Patients
GetGoal-Duo-2
A Randomized, Open-label, Active-controlled, 3-arm Parallel-group, 26-week Study Comparing the Efficacy and Safety of Lixisenatide to That of Insulin Glulisine Once Daily and Insulin Glulisine Three Times Daily in Patients With Type 2 Diabetes Insufficiently Controlled With Insulin Glargine With or Without Metformin
3 other identifiers
interventional
894
17 countries
195
Brief Summary
Primary Objective: \- To compare lixisenatide versus insulin glulisine in terms of glycosylated hemoglobin (HbA1c) reduction and body weight change at Week 26 in type 2 diabetic participants not adequately controlled on insulin glargine ± metformin. Secondary Objectives: \- To compare the treatments/regimens on:
- The percentage of participants reaching the target of HbA1c \<7% or ≤6.5%,
- Body weight,
- Self-Monitored Glucose profiles,
- Fasting Plasma Glucose (FPG),
- Post-prandial plasma glucose (PPG) /glucose excursions during a standardized meal test (subset of participants),
- Daily doses of insulins,
- Safety and tolerability.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_3 type-2-diabetes
Started Jan 2013
Typical duration for phase_3 type-2-diabetes
195 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
January 1, 2013
CompletedFirst Submitted
Initial submission to the registry
January 11, 2013
CompletedFirst Posted
Study publicly available on registry
January 15, 2013
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2014
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2014
CompletedResults Posted
Study results publicly available
January 4, 2017
CompletedJanuary 4, 2017
November 1, 2016
1.9 years
January 11, 2013
August 22, 2016
November 4, 2016
Conditions
Outcome Measures
Primary Outcomes (2)
Change in HbA1c From Baseline to Week 26
Change in HbA1C was calculated by subtracting baseline value from Week 26 value. Missing data was imputed using last on-treatment observation carried forward (LOCF). On-treatment period for this efficacy variable was defined as the time from the first dose of study drug up to 14 days after the last dose of study drug. Here, number of participants analyzed = participants with baseline and at least one post-baseline HbA1c assessment during on-treatment period.
Baseline, Week 26
Change in Body Weight From Baseline to Week 26
Primary outcome was the comparison between Lixisenatide versus Insulin Glulisine TID. Change in body weight was calculated by subtracting baseline value from Week 26 value. Missing data was imputed using LOCF. On-treatment period for this efficacy variable was defined as the time from the first dose of study drug up to 3 days after the last dose of study drug.
Baseline, Week 26
Secondary Outcomes (13)
Percentage of Participants With HbA1c Level <7% and ≤6.5% at Week 26
Week 26
Percentage of Participants With no Weight Gain at Week 26
Week 26
Change in Average 7-point SMPG Profiles From Baseline to Week 26
Baseline, Week 26
Change in FPG From Baseline to Week 26
Baseline, Week 26
Change in PPG From Baseline to Week 26 (in Participants Who Had an Injection of Investigational Medicinal Product [IMP] Before Breakfast)
Baseline, Week 26
- +8 more secondary outcomes
Study Arms (3)
Lixisenatide
EXPERIMENTALLixisenatide 10 mcg once daily (QD) for 2 weeks post-randomization, then at a maintenance dose of 20 mcg QD up to Week 26 on top of insulin glargine with or without metformin.
Insulin Glulisine QD
ACTIVE COMPARATORInsulin glulisine QD from randomization up to Week 26 on top of Insulin glargine with or without metformin.
Insulin Glulisine TID
ACTIVE COMPARATORInsulin glulisine thrice daily (TID) from randomization up to Week 26 on top of Insulin glargine with or without metformin.
Interventions
Pharmaceutical form: Solution for injection; Route of administration: Self-administered by subcutaneous injection 30 to 60 minutes before breakfast or dinner.
Pharmaceutical form: Solution for injection; Route of administration: Self-administered by subcutaneous injection within 15 minutes before breakfast or dinner. The initial dose was 3-5 units and then individually titrated to obtain the SMPG value \>5.6 mmol/L (100 mg/dL) and ≤7.8 mmol/L (140 mg/dL) before lunch (if administered at breakfast) or at bedtime (if administered at dinner).
Pharmaceutical form: Solution for injection; Route of administration: Self-administered by subcutaneous injection within 15 minutes before each meal. The initial dose was 3-5 units for each meal and then individually titrated to obtain the SMPG value \>5.6 mmol/L (100 mg/dL) and ≤7.8 mmol/L (140 mg/dL) before the next meal or at bedtime (for injection at dinner).
Pharmaceutical form: Solution for injection; Route of administration: Self-administered by subcutaneous injection at breakfast or dinner. Doses were adjusted to maintain a fasting self-monitored plasma glucose (SMPG) between 4.4 to 5.6 mmol/L (80 to 100 mg/dL).
Pharmaceutical form: Tablet; Route of administration: Oral administration. If previously taken, Metformin to be continued at stable dose (≥1.5 g/day) throughout the study.
Eligibility Criteria
You may qualify if:
- Participants with type 2 diabetes mellitus diagnosed at least 1 year before screening visit (V1).
- Participants treated with basal insulin for at least 6 months.
- Participants treated for at least 3 months prior to visit 1 with a stable basal insulin regimen (i.e. type of insulin and time/frequency of the injection). The insulin dose should be stable (± 20%) and ≥20 U/day for at least 2 months prior to visit 1.
- Participants treated with basal insulin alone or in combination with 1 to 3 oral anti-diabetic drugs (OADs) that could be: metformin (≥1.5 g/day or maximal tolerated dose), a sulfonylurea (SU), a dipeptidyl-peptidase-4 (DPP-4) inhibitor, a glinide. The dose of OADs should be stable for at least 3 months prior to visit 1.
You may not qualify if:
- At screening: age \< legal age of majority.
- At screening, HbA1c: \<7.5% and \>10.0% for participants treated with basal insulin alone or in combination with metformin only; \< 7.0% and \> 10.0% for participants treated with basal insulin and a combination of oral anti-diabetic drugs which included a SU and/or a DPP-4 inhibitor and/or a glinide.
- Women of childbearing potential with no effective contraceptive method, pregnancy or lactation.
- Type 1 diabetes mellitus.
- Previous treatment with short or rapid acting insulin other than in relation to hospitalization or an acute illness.
- Any previous treatment with lixisenatide, or any discontinuation from another glucagon-like peptide 1 (GLP-1) receptor agonist due to safety/tolerability issue or lack of efficacy.
- At screening, Body Mass Index (BMI) ≤20 or \>40 kg/m\^2.
- Weight change of more than 5 kg during the 3 months prior to the screening visit; use of weight loss drugs within 3 months prior to screening.
- Within the last 6 months prior to screening: history of myocardial infarction, stroke, or heart failure requiring hospitalization. Planned coronary, carotid or peripheral artery revascularisation procedures.
- History of unexplained pancreatitis, chronic pancreatitis, pancreatectomy, stomach/gastric surgery.
- At screening resting systolic blood pressure \>180 mmHg or diastolic blood pressure \>95 mmHg.
- Personal or immediate family history of medullary thyroid cancer (MTC) or genetic condition that predisposed to MTC (e.g. multiple endocrine neoplasia syndromes).
- Contraindication related to metformin (for participant receiving this treatment), insulin glargine, insulin glulisine or lixisenatide.
- Participants with severe renal impairment (creatinine clearance less than 30 ml/min) or end-stage renal disease.
- At screening, amylase and/or lipase \>3 times the upper limit of the normal laboratory range (ULN).
- +6 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Sanofilead
Study Sites (199)
Investigational Site Number 840043
Sun City, Arizona, 85351, United States
Investigational Site Number 840042
Tempe, Arizona, 85282, United States
Investigational Site Number 840003
Little Rock, Arkansas, 72205, United States
Investigational Site Number 840031
La Mesa, California, 91942, United States
Investigational Site Number 840005
Mission Viejo, California, 92691, United States
Investigational Site Number 840057
Northridge, California, 91325, United States
Investigational Site Number 840035
Santa Ana, California, 92704, United States
Investigational Site Number 840002
Temecula, California, 92591, United States
Investigational Site Number 840037
Walnut Creek, California, 94598, United States
Investigational Site Number 840023
West Hills, California, 91345, United States
Investigational Site Number 840041
Denver, Colorado, 80246, United States
Investigational Site Number 840012
Miami, Florida, 33136, United States
Investigational Site Number 840061
Miami, Florida, 33142, United States
Investigational Site Number 840045
Lawrenceville, Georgia, 30045, United States
Investigational Site Number 840036
Nampa, Idaho, 83686, United States
Investigational Site Number 840024
Chicago, Illinois, 60611, United States
Investigational Site Number 840009
Evanston, Illinois, 60201, United States
Investigational Site Number 840004
Avon, Indiana, 46123, United States
Investigational Site Number 840055
Avon, Indiana, 46123, United States
Investigational Site Number 840027
Des Moines, Iowa, 50314, United States
Investigational Site Number 840006
Wichita, Kansas, 67203, United States
Investigational Site Number 840047
Lexington, Kentucky, 40504, United States
Investigational Site Number 840056
Paducah, Kentucky, 42003, United States
Investigational Site Number 840022
Marrero, Louisiana, 70072, United States
Investigational Site Number 840016
Baltimore, Maryland, 21237, United States
Investigational Site Number 840017
Rockville, Maryland, 20852, United States
Investigational Site Number 840025
Buckley, Michigan, 49620, United States
Investigational Site Number 840048
Dearborn, Michigan, 48124, United States
Investigational Site Number 840026
Kalamazoo, Michigan, 49048, United States
Investigational Site Number 840049
Las Vegas, Nevada, 89148, United States
Investigational Site Number 840029
New Hyde Park, New York, 11042, United States
Investigational Site Number 840060
Smithtown, New York, 11787, United States
Investigational Site Number 840030
Staten Island, New York, 10301-3914, United States
Investigational Site Number 840011
Salisbury, North Carolina, 28144, United States
Investigational Site Number 840028
Fargo, North Dakota, 58103, United States
Investigational Site Number 840007
Oklahoma City, Oklahoma, 73104, United States
Investigational Site Number 840021
Pittsburgh, Pennsylvania, 15212, United States
Investigational Site Number 840052
Myrtle Beach, South Carolina, 29572, United States
Investigational Site Number 840032
Chattanooga, Tennessee, 37404, United States
Investigational Site Number 840033
Nashville, Tennessee, 37232, United States
Investigational Site Number 840034
Corpus Christi, Texas, 78404, United States
Investigational Site Number 840001
Dallas, Texas, 75230, United States
Investigational Site Number 840020
Houston, Texas, 77081, United States
Investigational Site Number 840018
Norfolk, Virginia, 23502, United States
Investigational Site Number 840015
Salem, Virginia, 24153, United States
Investigational Site Number 840010
Milwaukee, Wisconsin, 53217, United States
Investigational Site Number 124008
Brampton, L6R 3J5, Canada
Investigational Site Number 124015
Burlington, L7M 4Y1, Canada
Investigational Site Number 124018
Chatham, N7L 1C1, Canada
Investigational Site Number 124004
Coquitlam, V3K 3P4, Canada
Investigational Site Number 124016
Etobicoke, M9R 4E1, Canada
Investigational Site Number 124014
Hamilton, L8L 5G8, Canada
Investigational Site Number 124020
Montreal, H1Y 3L1, Canada
Investigational Site Number 124011
Montreal, H3A 1A1, Canada
Investigational Site Number 124017
Newmarket, L3Y 5G8, Canada
Investigational Site Number 124021
Québec, G1N 4V3, Canada
Investigational Site Number 124003
Red Deer, T4N 6V7, Canada
Investigational Site Number 124012
Saint Romuald, G6W 5M6, Canada
Investigational Site Number 124002
Sherbrooke, J1H 5N4, Canada
Investigational Site Number 124001
Toronto, M4G 3E8, Canada
Investigational Site Number 124010
Toronto, M5C 2T2, Canada
Investigational Site Number 124005
Vancouver, V5Z 1M9, Canada
Investigational Site Number 124006
Victoria, V8V 4A1, Canada
Investigational Site Number 124007
Winnipeg, R3E 3P4, Canada
Investigational Site Number 152103
Santiago, 7500010, Chile
Investigational Site Number 152107
Santiago, 7500347, Chile
Investigational Site Number 152101
Santiago, 7500710, Chile
Investigational Site Number 152105
Santiago, 7591047, Chile
Investigational Site Number 152102
Santiago, 7980378, Chile
Investigational Site Number 152106
Santiago, 8053095, Chile
Investigational Site Number 152108
Santiago, 8053095, Chile
Investigational Site Number 152109
Santiago, Chile
Investigational Site Number 203107
Beroun, 26601, Czechia
Investigational Site Number 203103
Jílové u Prahy, 254 01, Czechia
Investigational Site Number 203101
Ostrava, 702 00, Czechia
Investigational Site Number 203110
Police nad Metují, 549 54, Czechia
Investigational Site Number 203105
Prague, 14021, Czechia
Investigational Site Number 203102
Prague, 148 00, Czechia
Investigational Site Number 203108
Prague, 14900, Czechia
Investigational Site Number 203104
Trutnov, 54101, Czechia
Investigational Site Number 233102
Pärnu, 80018, Estonia
Investigational Site Number 233103
Tallinn, 13415, Estonia
Investigational Site Number 233104
Tallinn, 13419, Estonia
Investigational Site Number 233101
Viljandimaa, 71024, Estonia
Investigational Site Number 250108
Bois-Guillaume, 76230, France
Investigational Site Number 250105
Corbeil-Essonnes, 91100, France
Investigational Site Number 250104
La Rochelle, 17019, France
Investigational Site Number 250106
Lyon, 69495, France
Investigational Site Number 250107
Lyon, 69495, France
Investigational Site Number 250109
Mantes-la-Jolie, 78200, France
Investigational Site Number 250102
Paris, 75908, France
Investigational Site Number 250101
Vandœuvre-lès-Nancy, 54511, France
Investigational Site Number 250103
Vénissieux, 69200, France
Investigational Site Number 276112
Bad Mergentheim, 97980, Germany
Investigational Site Number 276108
Berlin, 13125, Germany
Investigational Site Number 276102
Dortmund, 44137, Germany
Investigational Site Number 276120
Dresden, 01067, Germany
Investigational Site Number 276106
Dresden, 01307, Germany
Investigational Site Number 276117
Frankfurt A.M., 60596, Germany
Investigational Site Number 276116
Görlitz, 02826, Germany
Investigational Site Number 276113
Heidelberg, 69115, Germany
Investigational Site Number 276118
Leipzig, 04103, Germany
Investigational Site Number 276119
Magdeburg, 39104, Germany
Investigational Site Number 276103
Neumünster, 24534, Germany
Investigational Site Number 276109
Saint Ingbert-Oberwürzbach, 66386, Germany
Investigational Site Number 276115
Speyer, 67346, Germany
Investigational Site Number 348107
Budapest, 1134, Hungary
Investigational Site Number 348108
Budapest, 1138, Hungary
Investigational Site Number 348102
Budapest, 1139, Hungary
Investigational Site Number 348101
Eger, 3300, Hungary
Investigational Site Number 348103
Pápa, 8500, Hungary
Investigational Site Number 348106
Sátoraljaújhely, 3980, Hungary
Investigational Site Number 348104
Szeged, 6720, Hungary
Investigational Site Number 348105
Zalaegerszeg, 8900, Hungary
Investigational Site Number 380103
Bologna, 40138, Italy
Investigational Site Number 380102
Catania, 95122, Italy
Investigational Site Number 380101
Milan, 20132, Italy
Investigational Site Number 380105
Napoli, 80131, Italy
Investigational Site Number 380104
Torino, 10126, Italy
Investigational Site Number 428103
Jelgava, LV-3001, Latvia
Investigational Site Number 428104
Ogre, LV-5001, Latvia
Investigational Site Number 428102
Riga, LV-1002, Latvia
Investigational Site Number 428105
Riga, LV-1006, Latvia
Investigational Site Number 428101
Sigulda, LV-2150, Latvia
Investigational Site Number 440104
Jonava, LT-55201, Lithuania
Investigational Site Number 440103
Kaunas, LT-48259, Lithuania
Investigational Site Number 440102
Kaunas, LT-49456, Lithuania
Investigational Site Number 440101
Kaunas, LT-51270, Lithuania
Investigational Site Number 440105
Klaipėda, LT-92288, Lithuania
Investigational Site Number 484108
Chihuahua City, 31200, Mexico
Investigational Site Number 484101
Cuernavaca, 62250, Mexico
Investigational Site Number 484111
Durango, 34080, Mexico
Investigational Site Number 484104
Guadalajara, 44150, Mexico
Investigational Site Number 484109
Guadalajara, 44210, Mexico
Investigational Site Number 484107
Guadalajara, 44600, Mexico
Investigational Site Number 484105
Guadalajara, 44650, Mexico
Investigational Site Number 484110
Guadalajara, 44656, Mexico
Investigational Site Number 484103
Mexico City, 11850, Mexico
Investigational Site Number 484102
México, 06700, Mexico
Investigational Site Number 484106
Monterrey, 64000, Mexico
Investigational Site Number 616101
Bialystok, 15-435, Poland
Investigational Site Number 616103
Bydgoszcz, 85-822, Poland
Investigational Site Number 616102
Bytom, 41-902, Poland
Investigational Site Number 616106
Krakow, 31-455, Poland
Investigational Site Number 616104
Krakow, 31-548, Poland
Investigational Site Number 616105
Puławy, 24-100, Poland
Investigational Site Number 616107
Warsaw, 02-507, Poland
Investigational Site Number 642105
Bacau, 600114, Romania
Investigational Site Number 642108
Cluj-Napoca, 400006, Romania
Investigational Site Number 642106
Deva, 330084, Romania
Investigational Site Number 642113
Galati, 800098, Romania
Investigational Site Number 642107
Hunedoara, 331057, Romania
Investigational Site Number 642117
Iași, 700547, Romania
Investigational Site Number 642103
Oradea, 410169, Romania
Investigational Site Number 642104
Oradea, 410169, Romania
Investigational Site Number 642112
Piteşti, 110084, Romania
Investigational Site Number 642114
Ploieşti, 100342, Romania
Investigational Site Number 642102
Reşiţa, 320076, Romania
Investigational Site Number 642111
Sibiu, 550371, Romania
Investigational Site Number 642109
Târgu Mureş, 540142, Romania
Investigational Site Number 642110
Târgu Mureş, 540142, Romania
Investigational Site Number 642116
Timișoara, 300133, Romania
Investigational Site Number 642101
Timișoara, 300456, Romania
Investigational Site Number 642115
Timișoara, 300723, Romania
Investigational Site Number 643111
Moscow, 117036, Russia
Investigational Site Number 643107
Moscow, 119991, Russia
Investigational Site Number 643105
Moscow, 129110, Russia
Investigational Site Number 643110
Penza, 440026, Russia
Investigational Site Number 643101
Saint Petersburg, 194044, Russia
Investigational Site Number 643104
Saint Petersburg, 194354, Russia
Investigational Site Number 643109
Saint Petersburg, 194354, Russia
Investigational Site Number 643106
Saint Petersburg, 194358, Russia
Investigational Site Number 643108
Saint Petersburg, 195112, Russia
Investigational Site Number 643103
Saint Petersburg, 195257, Russia
Investigational Site Number 643102
Saratov, 410030, Russia
Investigational Site Number 724105
A Coruña, 15006, Spain
Investigational Site Number 724102
Ferrol, 15403, Spain
Investigational Site Number 724103
Málaga, 29010, Spain
Investigational Site Number 724104
Seville, 41010, Spain
Investigational Site Number 804104
Chernivtsi, 58022, Ukraine
Investigational Site Number 804107
Donetsk, 83003, Ukraine
Investigational Site Number 804103
Donetsk, 83059, Ukraine
Investigational Site Number 804108
Mykolaiv, 54003, Ukraine
Investigational Site Number 804110
Odesa, 65059, Ukraine
Investigational Site Number 804105
Vinnytsia, 21001, Ukraine
Investigational Site Number 804102
Vinnytsia, 21010, Ukraine
Investigational Site Number 804111
Zaporizhia, 69600, Ukraine
Investigational Site Number 826006
Ashton-under-Lyne, OL6 9RW, United Kingdom
Investigational Site Number 826002
Birmingham, B9 5SS, United Kingdom
Investigational Site Number 826007
Carmarthen, SA31 2AF, United Kingdom
Investigational Site Number 826005
Chester, CH2 1UL, United Kingdom
Investigational Site Number 826008
Coventry, CV1 4FH, United Kingdom
Investigational Site Number 826009
Dundee, DD1 9SI, United Kingdom
Investigational Site Number 826001
Durham, DH1 5TW, United Kingdom
Investigational Site Number 826011
Haddington, EH41 3PF, United Kingdom
Investigational Site Number 826012
Leicester, LE5 4PW, United Kingdom
Investigational Site Number 826010
Plymouth, PL6 8BX, United Kingdom
Investigational Site Number 826004
Sheffield, S5 7AU, United Kingdom
Investigational Site Number 826003
St Helens, WA93DA, United Kingdom
Related Publications (3)
Rosenstock J, Guerci B, Hanefeld M, Gentile S, Aronson R, Tinahones FJ, Roy-Duval C, Souhami E, Wardecki M, Ye J, Perfetti R, Heller S; GetGoal Duo-2 Trial Investigators. Prandial Options to Advance Basal Insulin Glargine Therapy: Testing Lixisenatide Plus Basal Insulin Versus Insulin Glulisine Either as Basal-Plus or Basal-Bolus in Type 2 Diabetes: The GetGoal Duo-2 Trial. Diabetes Care. 2016 Aug;39(8):1318-28. doi: 10.2337/dc16-0014. Epub 2016 May 23.
PMID: 27222510RESULTTabak AG, Anderson J, Aschner P, Liu M, Saremi A, Stella P, Tinahones FJ, Wysham C, Meier JJ. Efficacy and Safety of iGlarLixi, Fixed-Ratio Combination of Insulin Glargine and Lixisenatide, Compared with Basal-Bolus Regimen in Patients with Type 2 Diabetes: Propensity Score Matched Analysis. Diabetes Ther. 2020 Jan;11(1):305-318. doi: 10.1007/s13300-019-00735-7. Epub 2019 Dec 17.
PMID: 31848983DERIVEDRosenstock J, Handelsman Y, Vidal J, Ampudia Blasco FJ, Giorgino F, Liu M, Perfetti R, Meier JJ. Propensity-score-matched comparative analyses of simultaneously administered fixed-ratio insulin glargine 100 U and lixisenatide (iGlarLixi) vs sequential administration of insulin glargine and lixisenatide in uncontrolled type 2 diabetes. Diabetes Obes Metab. 2018 Dec;20(12):2821-2829. doi: 10.1111/dom.13462. Epub 2018 Aug 13.
PMID: 29974618DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Results Point of Contact
- Title
- Trial Transparency Team
- Organization
- Sanofi
Study Officials
- STUDY DIRECTOR
Clinical Sciences & Operations
Sanofi
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
January 11, 2013
First Posted
January 15, 2013
Study Start
January 1, 2013
Primary Completion
December 1, 2014
Study Completion
December 1, 2014
Last Updated
January 4, 2017
Results First Posted
January 4, 2017
Record last verified: 2016-11