Ellipseā„¢: Efficacy and Safety of Liraglutide in Combination With Metformin Compared to Metformin Alone, in Children and Adolescents With Type 2 Diabetes

Sponsor
Novo Nordisk A/S (Industry)
Overall Status
Completed
CT.gov ID
NCT01541215
Collaborator
(none)
135
185
2
90.2
0.7
0

Study Details

Study Description

Brief Summary

This trial is conducted globally. The aim of this trial is to assess the efficacy and safety of liraglutide in the paediatric population in order to potentially address the unmet need for treatment of children and adolescents with type 2 diabetes.

Condition or Disease Intervention/Treatment Phase
Phase 3

Study Design

Study Type:
Interventional
Actual Enrollment :
135 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
Double (Participant, Investigator)
Primary Purpose:
Treatment
Official Title:
Efficacy and Safety of Liraglutide in Combination With Metformin Versus Metformin Monotherapy on Glycaemic Control in Children and Adolescents With Type 2 Diabetes
Actual Study Start Date :
Nov 13, 2012
Actual Primary Completion Date :
Nov 15, 2017
Actual Study Completion Date :
May 20, 2020

Arms and Interventions

Arm Intervention/Treatment
Experimental: Lira + Met

Drug: liraglutide
Administered subcutaneously (s.c., under the skin) once daily.1.8 mg or maximum tolerated dose (MTD: 0.6 mg, 1.2 mg, 1.8 mg) for 26 weeks. Subjects will continue treatment in a 26 week open-labelled extension. Rescue treatment will be allowed if rescue criteria are met.

Drug: metformin
Tablets administered for 26 weeks. Maximum tolerated dose (MTD) between 1000-2000 mg at the discretion of the investigator. Subjects will continue treatment in a 26 week open-labelled extension.

Placebo Comparator: Placebo + Met

Drug: placebo
Administered subcutaneously (s.c., under the skin) once daily for 26 weeks. Subjects will discontinue placebo treatment in the open-labelled extension. Rescue treatment will be allowed if rescue criteria are met.

Drug: metformin
Tablets administered for 26 weeks. Maximum tolerated dose (MTD) between 1000-2000 mg at the discretion of the investigator. Subjects will continue treatment in a 26 week open-labelled extension.

Outcome Measures

Primary Outcome Measures

  1. Change in HbA1c (Glycosylated Haemoglobin) [Week 0, week 26]

    Change in HbA1c from baseline to week 26. All available data were used for the primary analysis, including data collected after treatment discontinuation and initiation of rescue medication.

Secondary Outcome Measures

  1. Change From Baseline in Fasting Plasma Glucose (FPG) [Week 0, week 26]

    Change in FPG from baseline to week 26. All available data were used for the analysis, including data collected after treatment discontinuation and initiation of rescue medication.

  2. Number of Subjects Having HbA1c Below 7.0% [Week 26]

    Percentage of subjects having HbA1c <7.0%. All available data were used for the analysis including data collected after treatment discontinuation and initiation of rescue medication.

  3. Change From Baseline in Body Mass Index (BMI) Standard Deviation Score (SDS) [Week 0, week 26]

    Change in BMI SDS from baseline to week 26. BMI SDS was calculated using the following formula: Z=[(value /M)^L - 1] / S*L; where L, M and S are median (M), skewness (L) and variation coefficient (S) of children/adolescents' BMI provided for each sex and age. For each subject, a standard deviation score Z (SDS) was calculated based on age and sex referring to the values L, M and S. The method is described in the world health organisation (WHO) Multicentre Growth Reference, which also contains the values for L, M and S by age and sex. For Z (SDS) scores below -3 and above 3, the score was adjusted as described in the WHO instruction. All available data were used for the analysis including data collected after treatment discontinuation and initiation of rescue medication.

  4. Number of Subjects Having HbA1c Below 7.0% [Week 52]

    Number of subjects achieving HbA1c <7.0% after 52 weeks. All available data were used for the analysis including data collected after treatment discontinuation and initiation of rescue medication.

  5. Number of Subjects Having HbA1c Maximum 6.5% [Week 26]

    Number of subjects achieving HbA1c <=6.5% after 26 weeks. All available data were used for the analysis including data collected after treatment discontinuation and initiation of rescue medication.

  6. Number of Subjects Having HbA1c Maximum 6.5% [Week 52]

    Number of subjects achieving HbA1c <=6.5% after 52 weeks. All available data were used for the analysis including data collected after treatment discontinuation and initiation of rescue medication.

  7. Number of Subjects Having HbA1c Below 7.0% Without Severe or Minor Hypoglycaemic Episodes [Week 26]

    Number of subjects achieving HbA1c <7.0% without severe or minor hypoglycaemic episodes after 26 weeks. Severe hypoglycaemia: An episode requiring assistance of another person to actively administer carbohydrate, glucagon, or other resuscitative actions. Minor hypoglycaemia was defined as meeting either of the below criteria: an episode with symptoms consistent with hypoglycaemia with confirmation by blood glucose <2.8 mmol/L (50 mg/dL) or plasma glucose <3.1 mmol/L (56 mg/dL), and which was handled by the subject him/herself any asymptomatic blood glucose value <2.8 mmol/L (50 mg/dL) or plasma glucose value <3.1 mmol/L (56 mg/dL) All available data were used for the analysis including data collected after treatment discontinuation and initiation of rescue medication.

  8. Number of Subjects Having HbA1c Below 7.0% Without Severe or Minor Hypoglycaemic Episodes [Week 52]

    Number of subjects achieving HbA1c <7.0% without severe or minor hypoglycaemic episodes after 52 weeks. Severe hypoglycaemia: An episode requiring assistance of another person to actively administer carbohydrate, glucagon, or other resuscitative actions. Minor hypoglycaemia was defined as meeting either of the below criteria: an episode with symptoms consistent with hypoglycaemia with confirmation by blood glucose <2.8 mmol/L (50 mg/dL) or plasma glucose <3.1 mmol/L (56 mg/dL), and which was handled by the subject him/herself any asymptomatic blood glucose value <2.8 mmol/L (50 mg/dL) or plasma glucose value <3.1 mmol/L (56 mg/dL) All available data were used for the analysis including data collected after treatment discontinuation and initiation of rescue medication.

  9. Number of Subjects Having HbA1c Below 7.5% [Week 26]

    Number of subjects achieving HbA1c <7.5% after 26 weeks. All available data were used for the analysis including data collected after treatment discontinuation and initiation of rescue medication.

  10. Number of Subjects Having HbA1c Below 7.5% [Week 52]

    Number of subjects achieving HbA1c <7.5% after 52 weeks. All available data were used for the analysis including data collected after treatment discontinuation and initiation of rescue medication.

  11. Change in HbA1c [Week 0, week 52]

    Change in HbA1c from baseline to week 52. All available data were used for the analysis, including data collected after treatment discontinuation and initiation of rescue medication.

  12. Change in FPG [Week 0, week 52]

    Change in FPG from baseline to week 52. All available data were used for the analysis, including data collected after treatment discontinuation and initiation of rescue medication.

  13. Change in Mean 7-point Self-measured Plasma Glucose [Week 0, week 26]

    Change in mean 7-point self-measured plasma glucose after 26 weeks. Subjects were instructed to measure their plasma glucose at following timepoints: before breakfast, 90 minutes after start of breakfast, before lunch, 90 minutes after start of lunch, before dinner, 90 minutes after start of dinner and at bedtime. Mean 7-point SMPG was defined as the area under the profile (calculated using the trapezoidal method) divided by time. All available data were used for the analysis including data collected after treatment discontinuation and initiation of rescue medication.

  14. Change From Baseline in 7-point Self-measured Plasma Glucose [Week 0, week 52]

    Change in mean 7-point self-measured plasma glucose after 52 weeks. Subjects were instructed to measure their plasma glucose at following timepoints: before breakfast, 90 minutes after start of breakfast, before lunch, 90 minutes after start of lunch, before dinner, 90 minutes after start of dinner and at bedtime. Mean 7-point SMPG was defined as the area under the profile (calculated using the trapezoidal method) divided by time. All available data were used for the analysis including data collected after treatment discontinuation and initiation of rescue medication.

  15. Change in Post-prandial Increments (From Before Meal to 90 Min After Breakfast, Lunch, and Dinner) [Week 0, week 26]

    Change in post-prandial increments (from before meal to 90 min after breakfast, lunch, and dinner) after 26 weeks. Post-prandial increment for each meal (breakfast, lunch, and dinner) was derived from the 7-point SMPG profile as the difference between post-prandial plasma glucose values and the plasma glucose values before the meal. All available data were used for the analysis including data collected after treatment discontinuation and initiation of rescue medication.

  16. Change in Post-prandial Increments (From Before Meal to 90 Min After Breakfast, Lunch, and Dinner) [Week 0, week 52]

    Change in post-prandial increments (from before meal to 90 min after breakfast, lunch, and dinner) after 52 weeks. Post-prandial increment for each meal (breakfast, lunch, and dinner) was derived from the 7-point SMPG profile as the difference between post-prandial plasma glucose values and the plasma glucose values before the meal. All available data were used for the analysis including data collected after treatment discontinuation and initiation of rescue medication.

  17. Change in Mean Post-prandial Increment Across All Three Meals (Breakfast, Lunch, and Dinner) [Week 0, week 26]

    Change in mean post-prandial increment across all three meals (breakfast, lunch, and dinner) after 26 weeks. Post-prandial increment for each meal (breakfast, lunch, and dinner) was derived from the 7-point SMPG profile as the difference between post-prandial plasma glucose values and the plasma glucose values before the meal. All available data were used for the analysis including data collected after treatment discontinuation and initiation of rescue medication.

  18. Change in Mean Post-prandial Increment Across All Three Meals (Breakfast, Lunch, and Dinner) [Week 0, week 52]

    Change in mean post-prandial increment across all three meals (breakfast, lunch, and dinner) after 52 weeks. Post-prandial increment for each meal (breakfast, lunch, and dinner) was derived from the 7-point SMPG profile as the difference between post-prandial plasma glucose values and the plasma glucose values before the meal. All available data were used for the analysis including data collected after treatment discontinuation and initiation of rescue medication.

  19. Change From Baseline in Body Weight [Week 0, week 26]

    Change from baseline in body weight after 26 weeks. All available data were used for the analysis including data collected after treatment discontinuation and initiation of rescue medication.

  20. Change From Baseline in Body Weight [Week 0, week 52]

    Change from baseline in body weight after 52 weeks. All available data were used for the analysis including data collected after treatment discontinuation and initiation of rescue medication.

  21. Change From Baseline in BMI Standard Deviation Score (SDS) [Week 0, week 52]

    Change in BMI SDS from baseline to week 52. BMI SDS was calculated using the following formula: Z=[(value /M)^L - 1] / S*L; where L, M and S are median (M), skewness (L) and variation coefficient (S) of children/adolescents' BMI provided for each sex and age. For each subject, a standard deviation score Z (SDS) was calculated based on age and sex referring to the values L, M and S. The method is described in the WHO Multicentre Growth Reference, which also contains the values for L, M and S by age and sex. For Z (SDS) scores below -3 and above 3, the score was adjusted as described in the WHO instruction. All available data were used for the analysis including data collected after treatment discontinuation and initiation of rescue medication.

  22. Change in Blood Pressure (Systolic and Diastolic Blood Pressure) [Week 0, week 26]

    Change in blood pressure (systolic and diastolic blood pressure) after 26 weeks. All available data were used for the analysis including data collected after treatment discontinuation and initiation of rescue medication.

  23. Change in Blood Pressure (Systolic and Diastolic Blood Pressure) [Week 0, week 52]

    Change in blood pressure (systolic and diastolic blood pressure) after 52 weeks. All available data were used for the analysis including data collected after treatment discontinuation and initiation of rescue medication.

  24. Ratio to Baseline: Fasting Insulin [Week 0, week 26]

    Ratio to baseline (fasting insulin) at week 26. All available data were used for the analysis including data collected after treatment discontinuation and initiation of rescue medication.

  25. Ratio to Baseline: Fasting Insulin [Week 0, week 52]

    Ratio to baseline (fasting insulin) at week 52. All available data were used for the analysis including data collected after treatment discontinuation and initiation of rescue medication.

  26. Ratio to Baseline: Fasting Pro-insulin [Week 0, week 26]

    Ratio to baseline (fasting pro-insulin) at week 26. All available data were used for the analysis including data collected after treatment discontinuation and initiation of rescue medication.

  27. Ratio to Baseline: Fasting Pro-insulin [Week 0, week 52]

    Ratio to baseline (fasting pro-insulin) at week 52. All available data were used for the analysis including data collected after treatment discontinuation and initiation of rescue medication.

  28. Ratio to Baseline: Pro-insulin/Insulin Ratio [Week 0, week 26]

    Ratio to baseline (Pro-insulin/insulin ratio) after week 26. All available data were used for the analysis including data collected after treatment discontinuation and initiation of rescue medication.

  29. Ratio to Baseline: Pro-insulin/Insulin Ratio [Week 0, week 52]

    Ratio to baseline (Pro-insulin/insulin ratio) after week 52. All available data were used for the analysis including data collected after treatment discontinuation and initiation of rescue medication.

  30. Ratio to Baseline: Fasting Glucagon [Week 0, week 26]

    Ratio to baseline (fasting glucagon) at week 26. All available data were used for the analysis including data collected after treatment discontinuation and initiation of rescue medication.

  31. Ratio to Baseline: Fasting Glucagon [Week 0, week 52]

    Ratio to baseline (fasting glucagon) at week 52. All available data were used for the analysis including data collected after treatment discontinuation and initiation of rescue medication.

  32. Ratio to Baseline: Fasting C-peptide [Week 0, week 26]

    Ratio to baseline (fasting C-peptide) at week 26. All available data were used for the analysis including data collected after treatment discontinuation and initiation of rescue medication.

  33. Ratio to Baseline: Fasting C-peptide [Week 0, week 52]

    Ratio to baseline (fasting C-peptide) at week 52. All available data were used for the analysis including data collected after treatment discontinuation and initiation of rescue medication.

  34. Ratio to Baseline: Homeostasis Model Assessment of Beta-cell Function (HOMA-B) [Week 0, week 26]

    Ratio to baseline (HOMA-B) after 26 weeks. HOMA-B is an index of beta-cell function and was calculated from fasting insulin. All available data were used for the analysis including data collected after treatment discontinuation and initiation of rescue medication.

  35. Ratio to Baseline: HOMA-B [Week 0, week 52]

    Ratio to baseline (HOMA-B) after 52 weeks. HOMA-B is an index of beta-cell function and was calculated from fasting insulin. All available data were used for the analysis including data collected after treatment discontinuation and initiation of rescue medication.

  36. Ratio to Baseline: Homeostasis Model Assessment as an Index of Insulin Resistance (HOMA-IR) [Week 0, week 26]

    Ratio to baseline (HOMA-IR) after 26 weeks. HOMA-IR is an index of insulin resistance and was calculated from fasting insulin. All available data were used for the analysis including data collected after treatment discontinuation and initiation of rescue medication.

  37. Ratio to Baseline: HOMA-IR [Week 0, week 52]

    Ratio to baseline (HOMA-IR) after 52 weeks. HOMA-IR is an index of insulin resistance and was calculated from fasting insulin. All available data were used for the analysis including data collected after treatment discontinuation and initiation of rescue medication.

  38. Ratio to Baseline: Total Cholesterol [Week 0, week 26]

    Ratio to baseline (total cholesterol) after 26 weeks. All available data were used for the analysis including data collected after treatment discontinuation and initiation of rescue medication.

  39. Ratio to Baseline: Total Cholesterol [Week 0, week 52]

    Ratio to baseline (total cholesterol) after 52 weeks. All available data were used for the analysis including data collected after treatment discontinuation and initiation of rescue medication.

  40. Ratio to Baseline: Low Density Lipoprotein (LDL) Cholesterol [Week 0, week 26]

    Ratio to baseline (LDL cholesterol) after 26 weeks. All available data were used for the analysis including data collected after treatment discontinuation and initiation of rescue medication.

  41. Ratio to Baseline: LDL Cholesterol [Week 0, week 52]

    Ratio to baseline (LDL cholesterol) after 52 weeks. All available data were used for the analysis including data collected after treatment discontinuation and initiation of rescue medication.

  42. Ratio to Baseline: Very Low-density Lipoprotein (VLDL) Cholesterol [Week 0, week 26]

    Ratio to baseline (VLDL cholesterol) after 26 weeks. All available data were used for the analysis including data collected after treatment discontinuation and initiation of rescue medication.

  43. Ratio to Baseline: VLDL Cholesterol [Week 0, week 52]

    Ratio to baseline (VLDL cholesterol) after 52 weeks. All available data were used for the analysis including data collected after treatment discontinuation and initiation of rescue medication.

  44. Ratio to Baseline: High-density Lipoprotein (HDL) Cholesterol [Week 0, week 26]

    Ratio to baseline (HDL cholesterol) after 26 weeks. All available data were used for the analysis including data collected after treatment discontinuation and initiation of rescue medication.

  45. Ratio to Baseline: HDL Cholesterol [Week 0, week 52]

    Ratio to baseline (HDL cholesterol) after 52 weeks. All available data were used for the analysis including data collected after treatment discontinuation and initiation of rescue medication.

  46. Ratio to Baseline: Triglycerides [Week 0, week 26]

    Ratio to baseline (triglycerides) after 26 weeks. All available data were used for the analysis including data collected after treatment discontinuation and initiation of rescue medication.

  47. Ratio to Baseline: Triglycerides [Week 0, week 52]

    Ratio to baseline (triglycerides) after 52 weeks. All available data were used for the analysis including data collected after treatment discontinuation and initiation of rescue medication.

  48. Ratio to Baseline: Free Fatty Acids [Week 0, week 26]

    Ratio to baseline (free fatty acids) after 26 weeks. All available data were used for the analysis including data collected after treatment discontinuation and initiation of rescue medication.

  49. Ratio to Baseline: Free Fatty Acids [Week 0, week 52]

    Ratio to baseline (free fatty acids) after 52 weeks. All available data were used for the analysis including data collected after treatment discontinuation and initiation of rescue medication.

  50. Change From Baseline in Pulse [Week 0, week 26]

    Change from baseline in pulse 26 weeks. All available data were used for the analysis including data collected after treatment discontinuation and initiation of rescue medication.

  51. Change From Baseline in Pulse [Week 0, week 52]

    Change from baseline in pulse 52 weeks. All available data were used for the analysis including data collected after treatment discontinuation and initiation of rescue medication.

  52. Change From Baseline in Height SDS [Week 0, week 26]

    Change in height SDS from baseline to week 26. Height SDS was calculated using the following formula: Z=[(value /M)^L - 1] / S*L; where L, M and S are median (M), skewness (L) and variation coefficient (S) of children/adolescents' height provided for each sex and age. For each subject, a standard deviation score Z (SDS) was calculated based on age and sex referring to the values L, M and S. The method is described in the WHO Multicentre Growth Reference, which also contains the values for L, M and S by age and sex. For Z (SDS) scores below -3 and above 3, the score was adjusted as described in the WHO instruction. All available data were used for the analysis including data collected after treatment discontinuation and initiation of rescue medication.

  53. Change From Baseline in Height SDS [Week 0, week 52]

    Change in height SDS from baseline to week 52. Height SDS was calculated using the following formula: Z=[(value /M)^L - 1] / S*L; where L, M and S are median (M), skewness (L) and variation coefficient (S) of children/adolescents' height provided for each sex and age. For each subject, a standard deviation score Z (SDS) was calculated based on age and sex referring to the values L, M and S. The method is described in the WHO Multicentre Growth Reference, which also contains the values for L, M and S by age and sex. For Z (SDS) scores below -3 and above 3, the score was adjusted as described in the WHO instruction. All available data were used for the analysis including data collected after treatment discontinuation and initiation of rescue medication.

  54. Change in Bone Age Assessment (X-ray of Left Hand and Wrist) [Week 0, week 52]

    Change in bone age from baseline to week 52. If the baseline (week 0) bone age assessment indicated that all epiphyses were fused, then the assessment was not repeated at week 52.

  55. Pubertal Assessment/Progression (Tanner Staging) [Week 0, week 26, week 52]

    Pubertal development was assessed in 3 areas (breast, penis and pubic hair development) by the Tanner staging in accordance with stages I-V. The Tanner staging assessment was no longer required to be performed once a subject reached the Tanner stage V, as judged by the investigator. Reported results are number of participants at different Tanner stages at week 0, week 26 and week 52.

  56. Growth (Height Velocity) [Week 0, week 26]

    Growth (i.e., height velocity) is the change in height per year and is measured in cm/year. The height velocity was calculated as the difference between current height and height at baseline (week 0) divided by the time (in days) between those measurement time points and multiplied by 365 days.

  57. Growth (Height Velocity) [Week 0, week 52]

    Growth (i.e., height velocity) is the change in height per year and is measured in cm/year. The height velocity was calculated as the difference between current height and height at baseline (week 0) divided by the time (in days) between those measurement time points and multiplied by 365 days.

  58. Height Velocity SDS [Week 0, week 26]

    Height velocity SDS scores at week 26. Height velocity is change in height per year. The height velocity was calculated as the difference between current height and height at baseline (week 0) divided by time between those measurement time points and multiplied by 365 days. Height velocity SDS was calculated using following formula: Z=[(value /M)^L - 1] / S*L; where L, M and S are median (M), skewness (L) and variation coefficient (S) of children/adolescents' height provided for each sex and age. For each subject, a standard deviation score Z (SDS) was calculated based on age and sex referring to the values L, M and S. The method is described in the WHO Multicentre Growth Reference, which also contains the values for L, M and S by age and sex. For Z (SDS) scores below -3 and above 3, the score was adjusted as described in the WHO instruction. All available data were used for the analysis including data collected after treatment discontinuation and initiation of rescue medication.

  59. Height Velocity SDS [Week 0, week 52]

    Height velocity SDS scores at week 52. Height velocity is change in height per year. The height velocity was calculated as the difference between current height and height at baseline (week 0) divided by time between those measurement time points and multiplied by 365 days. Height velocity SDS was calculated using following formula: Z=[(value /M)^L - 1] / S*L; where L, M and S are median (M), skewness (L) and variation coefficient (S) of children/adolescents' height provided for each sex and age. For each subject, a standard deviation score Z (SDS) was calculated based on age and sex referring to the values L, M and S. The method is described in the WHO Multicentre Growth Reference, which also contains the values for L, M and S by age and sex. For Z (SDS) scores below -3 and above 3, the score was adjusted as described in the WHO instruction. All available data were used for the analysis including data collected after treatment discontinuation and initiation of rescue medication.

  60. Number of Hypoglycaemic Episodes [0-26 weeks]

    Total number of hypoglycaemic episodes according to American Diabetes Association (ADA) classification from baseline (week 0) to week 26.

  61. Number of Hypoglycaemic Episodes [0-52 weeks]

    Total number of hypoglycaemic episodes according to American Diabetes Association (ADA) classification from baseline (week 0) to week 52.

  62. Number of Adverse Events (Week 0-26) [0-26 weeks]

    Total number of adverse events during 26 weeks.

  63. Number of Adverse Events (Week 0-52) [0-52 weeks]

    Total number of adverse events during entire treatment period.

  64. Number of Serious Adverse Events (Week 0-26) [0-26 weeks]

    Total number of serious adverse events during 26 weeks.

  65. Number of Serious Adverse Events (Week 0-52) [0-52 weeks]

    Total number of serious adverse events during entire treatment period.

  66. Number of Adverse Events (Week 53-104) [Week 53-104]

    This outcome is applicable only for the Liraglutide 1.8 mg treatment arm. Number of adverse events reported during follow-up 1 (week 53 to 104).

  67. Number of Serious Adverse Events (Week 53-104) [Weeks 53-104]

    This outcome is applicable only for the Liraglutide 1.8 mg treatment arm. Number of serious adverse events reported during follow up 1 (week 53 to 104).

  68. Growth (Height Velocity)- Week 104 [Week 0, week 104]

    Growth (i.e., height velocity) is the change in height per year and is measured in cm/year. The height velocity was calculated as the difference between current height and height at baseline (week 0) divided by the time (in days) between those measurement time points and multiplied by 365 days. This outcome is applicable only for the Liraglutide 1.8 mg treatment arm.

  69. Height Velocity SDS- Week 104 [Week 0, week 104]

    The height velocity was calculated as the difference between current height and height at baseline (week 0) divided by time between those measurement time points and multiplied by 365 days. Height velocity SDS was calculated using following formula: Z=[(value /M)^L - 1] / S*L; where L, M and S are median (M), skewness (L) and variation coefficient (S) of children/adolescents' height provided for each sex and age. For each subject, a standard deviation score Z (SDS) was calculated based on age and sex referring to the values L, M and S. The method is described in the WHO Multicentre Growth Reference, which also contains the values for L, M and S by age and sex. For Z (SDS) scores below -3 and above 3, the score was adjusted as described in the WHO instruction. This outcome is applicable only for the Liraglutide 1.8 mg treatment arm.

  70. Change From Week 52 in Height SDS- Week 104 [Week 52, week 104]

    Change in height SDS from week 52 to week 104. Height SDS was calculated using the following formula: Z=[(value /M)^L - 1] / S*L; where L, M and S are median (M), skewness (L) and variation coefficient (S) of children/adolescents' height provided for each sex and age. For each subject, a standard deviation score Z (SDS) was calculated based on age and sex referring to the values L, M and S. The method is described in the WHO Multicentre Growth Reference, which also contains the values for L, M and S by age and sex. For Z (SDS) scores below -3 and above 3, the score was adjusted as described in the WHO instruction. All available data were used for the analysis including data collected after treatment discontinuation and initiation of rescue medication. This outcome is applicable only for the Liraglutide 1.8 mg treatment arm.

  71. Change in Pubertal Assessment/Progression (Tanner Staging)- Week 104 [Week 52, week 104]

    Pubertal development was assessed in 3 areas (breast, penis and pubic hair development) by the Tanner staging in accordance with stages I-V, where stage I represents "pre-adoloscent development" and stage V represents "pubertal development equivalent to that of an adult". The Tanner staging assessment was no longer required to be performed once a subject reached the Tanner stage V, as judged by the investigator. Reported results are number of subjects at different Tanner stages at week 52 and week 104. This outcome is applicable only for the Liraglutide 1.8 mg treatment arm.

  72. Change From Week 52 in Bone Age Assessment (X-ray of Left Hand and Wrist)- Week 104 [Week 52, week 104]

    Change in bone age from week 52 to week 104. This outcome is applicable only for the Liraglutide 1.8 mg treatment arm.

  73. Number of Adverse Events (Week 53-156) [Week 53-156]

    This outcome measure is applicable only for the Liraglutide 1.8 mg treatment arm. Number of adverse events reported during the follow-up period (weeks 53 to 156).

  74. Number of Serious Adverse Events (Week 53-156) [Weeks 53-156]

    This outcome measure is applicable only for the Liraglutide 1.8 mg treatment arm. Number of serious adverse events reported during the follow up period (week 53 to 156).

  75. Growth (Height Velocity)- Week 156 [Week 0, week 156]

    Growth (i.e., height velocity) is the change in height per year and is measured in cm/year. The height velocity was calculated as the difference between current height and height at baseline (week 0) divided by the time (in days) between those measurement time points and multiplied by 365 days. This outcome measure is applicable only for the Liraglutide 1.8 mg treatment arm.

  76. Height Velocity SDS- Week 156 [Week 0, week 156]

    The height velocity was calculated as the difference between current height and height at baseline (week 0) divided by time between those measurement time points and multiplied by 365 days. Height velocity SDS was calculated using following formula: Z=[(value /M)^L - 1] / S*L; where L, M and S are median (M), skewness (L) and variation coefficient (S) of children/adolescents' height provided for each sex and age. For each subject, a standard deviation score Z (SDS) was calculated based on age and sex referring to the values L, M and S. The method is described in the WHO Multicentre Growth Reference, which also contains the values for L, M and S by age and sex. For Z (SDS) scores below -3 and above 3, the score was adjusted as described in the WHO instruction. This outcome measure is applicable only for the Liraglutide 1.8 mg treatment arm.

  77. Change From Week 52 in Height SDS- Week 156 [Week 52, week 156]

    Change in height SDS from week 52 to week 156. Height SDS was calculated using the following formula: Z=[(value /M)^L - 1] / S*L; where L, M and S are median (M), skewness (L) and variation coefficient (S) of children/adolescents' height provided for each sex and age. For each subject, a standard deviation score Z (SDS) was calculated based on age and sex referring to the values L, M and S. The method is described in the WHO Multicentre Growth Reference, which also contains the values for L, M and S by age and sex. For Z (SDS) scores below -3 and above 3, the score was adjusted as described in the WHO instruction. All available data were used for the analysis including data collected after treatment discontinuation and initiation of rescue medication. This outcome measure is applicable only for the Liraglutide 1.8 mg treatment arm.

  78. Change in Pubertal Assessment/Progression (Tanner Staging)- Week 156 [Week 52, week 156]

    Pubertal development was assessed in 3 areas (breast, penis and pubic hair development) by the Tanner staging in accordance with stages I-V, where stage I represents "pre-adoloscent development" and stage V represents "pubertal development equivalent to that of an adult". The Tanner staging assessment was no longer required to be performed once a subject reached the Tanner stage V, as judged by the investigator. Reported results are number of subjects at different Tanner stages at week 52 and week 156. This outcome measure is applicable only for the Liraglutide 1.8 mg treatment arm.

  79. Change From Week 52 in Bone Age Assessment (X-ray of Left Hand and Wrist)- Week 156 [Week 52, week 156]

    Change in bone age from week 52 to week 156. This outcome measure is applicable only for the Liraglutide 1.8 mg treatment arm.

Eligibility Criteria

Criteria

Ages Eligible for Study:
10 Years to 17 Years
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No

Inclusion Criteria: - Children and adolescents between the ages of 10-16 years. Subjects cannot turn 17 years and 11 months before the end of treatment (52 weeks) - Diagnosis of type 2 diabetes mellitus and treated for at least 30 days with: diet and exercise alone, diet and exercise in combination with metformin monotherapy, diet and exercise in combination with metformin and a stable (Stable is defined as basal insulin adjustments up to 15%) dose of basal insulin, diet and exercise in combination with a stable (Stable is defined as basal insulin adjustments up to 15%) dose of basal insulin - HbA1c: 7.0-11% (inclusive) if diet and exercise treated or 6.5-11% (inclusive) if treated with metformin as monotherapy, basal insulin as monotherapy or metformin and basal insulin in combination

  • Body mass index (BMI) above 85% percentile of the general age and gender matched population Exclusion Criteria: - Type 1 diabetes - Maturity onset diabetes of the young (MODY) - Use of any antidiabetic agent other than metformin and/or basal insulin within 90 days prior to screening - Recurrent severe hypoglycaemia or hypoglycaemic unawareness as judged by the investigator - History of chronic pancreatitis or idiopathic acute pancreatitis - Any clinically significant disorder, except for conditions associated with type 2 diabetes history which in the investigator's opinion could interfere with results of the trial - Uncontrolled hypertension, treated or untreated above 99th percentile for age and gender in children - Known or suspected abuse of alcohol or drugs/narcotics

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137 Novo Nordisk Investigational Site Grafton New Zealand 1023
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140 Novo Nordisk Investigational Site Katowice Poland 40-752
141 Novo Nordisk Investigational Site Warszawa Poland 04-730
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146 Novo Nordisk Investigational Site Ponce Puerto Rico 00717
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148 Novo Nordisk Investigational Site Bucharest Romania 020614
149 Novo Nordisk Investigational Site Bucharest Romania 041451
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151 Novo Nordisk Investigational Site Chelyabinsk Russian Federation 454087
152 Novo Nordisk Investigational Site Izhevsk Russian Federation 426009
153 Novo Nordisk Investigational Site Krasnoyarsk Russian Federation 660022
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155 Novo Nordisk Investigational Site Moscow Russian Federation 125373
156 Novo Nordisk Investigational Site Novosibirsk Russian Federation 630048
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158 Novo Nordisk Investigational Site Saint-Petersburg Russian Federation 194100
159 Novo Nordisk Investigational Site Saratov Russian Federation 410054
160 Novo Nordisk Investigational Site Tomsk Russian Federation 634050
161 Novo Nordisk Investigational Site Belgrade Serbia 11000
162 Novo Nordisk Investigational Site Belgrade Serbia 11070
163 Novo Nordisk Investigational Site Nis Serbia 18 000
164 Novo Nordisk Investigational Site Novi Sad Serbia 21000
165 Novo Nordisk Investigational Site LeganƩs Spain 28911
166 Novo Nordisk Investigational Site Madrid Spain 28009
167 Novo Nordisk Investigational Site Madrid Spain 28046
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169 Novo Nordisk Investigational Site Vitoria Spain 01009
170 Novo Nordisk Investigational Site Gƶteborg Sweden 416 85
171 Novo Nordisk Investigational Site Huddinge Sweden 141 57
172 Novo Nordisk Investigational Site Uppsala Sweden 751 85
173 Novo Nordisk Investigational Site Tainan city Taiwan 710
174 Novo Nordisk Investigational Site Taoyuan Taiwan 333
175 Novo Nordisk Investigational Site Bangkok Thailand 10700
176 Novo Nordisk Investigational Site Chiang Mai Thailand 50200
177 Novo Nordisk Investigational Site Ankara Turkey 06100
178 Novo Nordisk Investigational Site Ankara Turkey 06230
179 Novo Nordisk Investigational Site Istanbul Turkey 34890
180 Novo Nordisk Investigational Site Kocaeli Turkey 41380
181 Novo Nordisk Investigational Site Birmingham United Kingdom B4 6NH
182 Novo Nordisk Investigational Site London United Kingdom SE5 9RS
183 Novo Nordisk Investigational Site Manchester United Kingdom M13 9WL
184 Novo Nordisk Investigational Site Norwich United Kingdom NR4 7TJ
185 Novo Nordisk Investigational Site Southampton United Kingdom SO16 6YD

Sponsors and Collaborators

  • Novo Nordisk A/S

Investigators

None specified.

Study Documents (Full-Text)

More Information

Additional Information:

Publications

Responsible Party:
Novo Nordisk A/S
ClinicalTrials.gov Identifier:
NCT01541215
Other Study ID Numbers:
  • NN2211-3659
  • 2011-002605-29
  • P/288/2010
  • U1111-1121-8743
  • CTRI/2013/10/004082
First Posted:
Feb 29, 2012
Last Update Posted:
Jul 2, 2021
Last Verified:
Jul 1, 2021
Individual Participant Data (IPD) Sharing Statement:
Yes
Plan to Share IPD:
Yes
Studies a U.S. FDA-regulated Drug Product:
Yes
Studies a U.S. FDA-regulated Device Product:
No
Additional relevant MeSH terms:

Study Results

Participant Flow

Recruitment Details The trial was conducted at 84 sites in 25 countries.
Pre-assignment Detail Eligible subjects entered an 11- to 12-week run-in period where they were to undergo a 3-4 week titration of metformin to a maximum tolerated dose of metformin (ā‰„1000 mg and ā‰¤2000 mg per day) followed by an 8-week maintenance period.
Arm/Group Title Liraglutide 1.8 mg Placebo
Arm/Group Description After the run-in period, subjects were randomized to receive liraglutide subcutaneous injections once daily (in combination with metformin with or without basal insulin, on a background of diet and exercise) for 52 weeks (26 weeks double blind treatment period followed by a 26-week open-label extension period). The liraglutide dosing was started at 0.6 mg/day during the first week and escalated in weekly increments of 0.6 mg over the following 2-3 weeks. Dose escalation was based on tolerability, as judged by the investigator and on the average of three fasting plasma glucose (FPG) measurements performed by the subject at home on the 3 consecutive days before the dose escalation visit being >6.1 mmol/L (110 mg/dL). Subjects were treated with doses of 0.6, 1.2 or 1.8 after dose escalation. Subjects treated with liraglutide for more than 3 months were asked to return for follow-up visits one and two years after the end of the open label period (after trial drug cessation at week 52). After the run-in period, subjects were randomized to receive placebo (in combination with metformin with or without basal insulin, on a background of diet and exercise) for a 26 weeks double blind treatment period. The liraglutide placebo was administered once daily subcutaneously in equivalent volume as liraglutide. After 26 weeks, participants discontinued placebo and continued treatment with metformin (with or without basal insulin) during the open-label period.
Period Title: Treatment Period (52 Weeks)
STARTED 66 69
Exposed 66 68
COMPLETED 56 53
NOT COMPLETED 10 16
Period Title: Treatment Period (52 Weeks)
STARTED 52 0
COMPLETED 50 0
NOT COMPLETED 2 0
Period Title: Treatment Period (52 Weeks)
STARTED 48 0
COMPLETED 48 0
NOT COMPLETED 0 0

Baseline Characteristics

Arm/Group Title Liraglutide 1.8 mg Placebo Total
Arm/Group Description After the run-in period, subjects were randomized to receive liraglutide subcutaneous injections once daily (in combination with metformin with or without basal insulin, on a background of diet and exercise) for 52 weeks (26 weeks double blind treatment period followed by a 26-week open-label extension period). The liraglutide dosing was started at 0.6 mg/day during the first week and escalated in weekly increments of 0.6 mg over the following 2-3 weeks. Dose escalation was based on tolerability, as judged by the investigator and on the average of three fasting plasma glucose (FPG) measurements performed by the subject at home on the 3 consecutive days before the dose escalation visit being >6.1 mmol/L (110 mg/dL). Subjects were treated with doses of 0.6, 1.2 or 1.8 after dose escalation. Subjects treated with liraglutide for more than 3 months were asked to return for follow-up visits one and two years after the end of the open label period (after trial drug cessation at week 52). After the run-in period, subjects were randomized to receive placebo (in combination with metformin with or without basal insulin, on a background of diet and exercise) for a 26 weeks double blind treatment period. The liraglutide placebo was administered once daily subcutaneously in equivalent volume as liraglutide. After 26 weeks, participants discontinued placebo and continued treatment with metformin (with or without basal insulin) during the open-label period. Total of all reporting groups
Overall Participants 66 68 134
Age (years) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [years]
14.57
(1.73)
14.57
(1.73)
14.57
(1.72)
Sex: Female, Male (Count of Participants)
Female
41
62.1%
42
61.8%
83
61.9%
Male
25
37.9%
26
38.2%
51
38.1%
Ethnicity (NIH/OMB) (Count of Participants)
Hispanic or Latino
16
24.2%
23
33.8%
39
29.1%
Not Hispanic or Latino
50
75.8%
45
66.2%
95
70.9%
Unknown or Not Reported
0
0%
0
0%
0
0%
Race (NIH/OMB) (Count of Participants)
American Indian or Alaska Native
2
3%
1
1.5%
3
2.2%
Asian
10
15.2%
8
11.8%
18
13.4%
Native Hawaiian or Other Pacific Islander
0
0%
0
0%
0
0%
Black or African American
9
13.6%
7
10.3%
16
11.9%
White
42
63.6%
45
66.2%
87
64.9%
More than one race
0
0%
0
0%
0
0%
Unknown or Not Reported
3
4.5%
7
10.3%
10
7.5%
Glycosylated hemoglobin (HbA1c) (percentage of HbA1c) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [percentage of HbA1c]
7.87
(1.35)
7.69
(1.34)
7.78
(1.34)

Outcome Measures

1. Primary Outcome
Title Change in HbA1c (Glycosylated Haemoglobin)
Description Change in HbA1c from baseline to week 26. All available data were used for the primary analysis, including data collected after treatment discontinuation and initiation of rescue medication.
Time Frame Week 0, week 26

Outcome Measure Data

Analysis Population Description
Full analysis set.
Arm/Group Title Liraglutide 1.8 mg Placebo
Arm/Group Description After the run-in period, subjects were randomized to receive liraglutide subcutaneous injections once daily (in combination with metformin with or without basal insulin, on a background of diet and exercise) for 52 weeks (26 weeks double blind treatment period followed by a 26-week open-label extension period). The liraglutide dosing was started at 0.6 mg/day during the first week and escalated in weekly increments of 0.6 mg over the following 2-3 weeks. Dose escalation was based on tolerability, as judged by the investigator and on the average of three fasting plasma glucose (FPG) measurements performed by the subject at home on the 3 consecutive days before the dose escalation visit being >6.1 mmol/L (110 mg/dL). Subjects were treated with doses of 0.6, 1.2 or 1.8 after dose escalation. Subjects treated with liraglutide for more than 3 months were asked to return for follow-up visits one and two years after the end of the open label period (after trial drug cessation at week 52). After the run-in period, subjects were randomized to receive placebo (in combination with metformin with or without basal insulin, on a background of diet and exercise) for a 26 weeks double blind treatment period. The liraglutide placebo was administered once daily subcutaneously in equivalent volume as liraglutide. After 26 weeks, participants discontinued placebo and continued treatment with metformin (with or without basal insulin) during the open-label period.
Measure Participants 66 68
Least Squares Mean (Standard Error) [Percentage of HbA1c]
-0.643
(0.215)
0.415
(0.216)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Liraglutide 1.8 mg, Placebo
Comments Analysis using a pattern mixture model of observed data with missing observations imputed from the placebo arm based on multiple (x10.000) imputations. The data for week 26 were then analysed with an ANCOVA model containing treatment, sex and age group as fixed effects and baseline value as covariate. The estimated treatment differences and confidence intervals were combined using Rubins formula.
Type of Statistical Test Superiority
Comments Stepwise hierarchical testing procedure was applied for confirmatory endpoints: Step 1: Primary analysis: change from baseline to week 26 in HbA1c Superiority of liraglutide over placebo was to be concluded if the 95% confidence interval for the treatment difference for change from baseline in HbA1c (%) after 26 weeks of randomised treatment was entirely below 0%, implying that the two sided p-value was less than 5%.
Statistical Test of Hypothesis p-Value <0.001
Comments
Method Pattern Mixture Model
Comments
Method of Estimation Estimation Parameter Treatment difference
Estimated Value -1.058
Confidence Interval (2-Sided) 95%
-1.653 to -0.464
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.304
Estimation Comments
2. Secondary Outcome
Title Change From Baseline in Fasting Plasma Glucose (FPG)
Description Change in FPG from baseline to week 26. All available data were used for the analysis, including data collected after treatment discontinuation and initiation of rescue medication.
Time Frame Week 0, week 26

Outcome Measure Data

Analysis Population Description
Full analysis set.
Arm/Group Title Liraglutide 1.8 mg Placebo
Arm/Group Description After the run-in period, subjects were randomized to receive liraglutide subcutaneous injections once daily (in combination with metformin with or without basal insulin, on a background of diet and exercise) for 52 weeks (26 weeks double blind treatment period followed by a 26-week open-label extension period). The liraglutide dosing was started at 0.6 mg/day during the first week and escalated in weekly increments of 0.6 mg over the following 2-3 weeks. Dose escalation was based on tolerability, as judged by the investigator and on the average of three fasting plasma glucose (FPG) measurements performed by the subject at home on the 3 consecutive days before the dose escalation visit being >6.1 mmol/L (110 mg/dL). Subjects were treated with doses of 0.6, 1.2 or 1.8 after dose escalation. Subjects treated with liraglutide for more than 3 months were asked to return for follow-up visits one and two years after the end of the open label period (after trial drug cessation at week 52). After the run-in period, subjects were randomized to receive placebo (in combination with metformin with or without basal insulin, on a background of diet and exercise) for a 26 weeks double blind treatment period. The liraglutide placebo was administered once daily subcutaneously in equivalent volume as liraglutide. After 26 weeks, participants discontinued placebo and continued treatment with metformin (with or without basal insulin) during the open-label period.
Measure Participants 66 68
Least Squares Mean (Standard Error) [mmol/L]
-1.076
(0.436)
0.801
(0.449)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Liraglutide 1.8 mg, Placebo
Comments Analysis using a pattern mixture model of observed data with missing observations imputed from the placebo arm based on multiple (x10.000) imputations. The data for weeks 26 were then analysed with an ANCOVA model containing treatment, sex and age group as fixed effects and baseline value as covariate. The estimated treatment differences and confidence intervals were combined using Rubins formula.
Type of Statistical Test Superiority
Comments Stepwise hierarchical testing procedure was applied for confirmatory endpoints: Step 2: Change from baseline in FPG after 26 weeks of treatment
Statistical Test of Hypothesis p-Value 0.002
Comments
Method Pattern Mixture Model
Comments
Method of Estimation Estimation Parameter Treatment difference
Estimated Value -1.878
Confidence Interval (2-Sided) 95%
-3.093 to -0.662
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.620
Estimation Comments
3. Secondary Outcome
Title Number of Subjects Having HbA1c Below 7.0%
Description Percentage of subjects having HbA1c <7.0%. All available data were used for the analysis including data collected after treatment discontinuation and initiation of rescue medication.
Time Frame Week 26

Outcome Measure Data

Analysis Population Description
Full analysis set.
Arm/Group Title Liraglutide 1.8 mg Placebo
Arm/Group Description After the run-in period, subjects were randomized to receive liraglutide subcutaneous injections once daily (in combination with metformin with or without basal insulin, on a background of diet and exercise) for 52 weeks (26 weeks double blind treatment period followed by a 26-week open-label extension period). The liraglutide dosing was started at 0.6 mg/day during the first week and escalated in weekly increments of 0.6 mg over the following 2-3 weeks. Dose escalation was based on tolerability, as judged by the investigator and on the average of three fasting plasma glucose (FPG) measurements performed by the subject at home on the 3 consecutive days before the dose escalation visit being >6.1 mmol/L (110 mg/dL). Subjects were treated with doses of 0.6, 1.2 or 1.8 after dose escalation. Subjects treated with liraglutide for more than 3 months were asked to return for follow-up visits one and two years after the end of the open label period (after trial drug cessation at week 52). After the run-in period, subjects were randomized to receive placebo (in combination with metformin with or without basal insulin, on a background of diet and exercise) for a 26 weeks double blind treatment period. The liraglutide placebo was administered once daily subcutaneously in equivalent volume as liraglutide. After 26 weeks, participants discontinued placebo and continued treatment with metformin (with or without basal insulin) during the open-label period.
Measure Participants 66 68
Number [Percentage of subjects]
63.7
36.5
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Liraglutide 1.8 mg, Placebo
Comments Missing data was imputed using pattern mixture model. For each imputed data set the binary response was analysed in a logistic regression model using a logit link with treatment and stratification group (gender*age group) as fixed factors and baseline HbA1c as covariate.The estimated treatment effects and confidence intervals were combined using RubinĀ“s formula.
Type of Statistical Test Superiority
Comments Stepwise hierarchical testing procedure was applied for confirmatory endpoints: Step 3: HbA1c < 7.0% after 26 weeks of treatment
Statistical Test of Hypothesis p-Value <0.001
Comments
Method logistic regression model
Comments
Method of Estimation Estimation Parameter Treatment odds ratio
Estimated Value 5.353
Confidence Interval (2-Sided) 95%
2.105 to 13.615
Parameter Dispersion Type:
Value:
Estimation Comments
4. Secondary Outcome
Title Change From Baseline in Body Mass Index (BMI) Standard Deviation Score (SDS)
Description Change in BMI SDS from baseline to week 26. BMI SDS was calculated using the following formula: Z=[(value /M)^L - 1] / S*L; where L, M and S are median (M), skewness (L) and variation coefficient (S) of children/adolescents' BMI provided for each sex and age. For each subject, a standard deviation score Z (SDS) was calculated based on age and sex referring to the values L, M and S. The method is described in the world health organisation (WHO) Multicentre Growth Reference, which also contains the values for L, M and S by age and sex. For Z (SDS) scores below -3 and above 3, the score was adjusted as described in the WHO instruction. All available data were used for the analysis including data collected after treatment discontinuation and initiation of rescue medication.
Time Frame Week 0, week 26

Outcome Measure Data

Analysis Population Description
Full analysis set.
Arm/Group Title Liraglutide 1.8 mg Placebo
Arm/Group Description After the run-in period, subjects were randomized to receive liraglutide subcutaneous injections once daily (in combination with metformin with or without basal insulin, on a background of diet and exercise) for 52 weeks (26 weeks double blind treatment period followed by a 26-week open-label extension period). The liraglutide dosing was started at 0.6 mg/day during the first week and escalated in weekly increments of 0.6 mg over the following 2-3 weeks. Dose escalation was based on tolerability, as judged by the investigator and on the average of three fasting plasma glucose (FPG) measurements performed by the subject at home on the 3 consecutive days before the dose escalation visit being >6.1 mmol/L (110 mg/dL). Subjects were treated with doses of 0.6, 1.2 or 1.8 after dose escalation. Subjects treated with liraglutide for more than 3 months were asked to return for follow-up visits one and two years after the end of the open label period (after trial drug cessation at week 52). After the run-in period, subjects were randomized to receive placebo (in combination with metformin with or without basal insulin, on a background of diet and exercise) for a 26 weeks double blind treatment period. The liraglutide placebo was administered once daily subcutaneously in equivalent volume as liraglutide. After 26 weeks, participants discontinued placebo and continued treatment with metformin (with or without basal insulin) during the open-label period.
Measure Participants 66 68
Least Squares Mean (Standard Error) [SDS score]
-0.254
(0.039)
-0.208
(0.039)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Liraglutide 1.8 mg, Placebo
Comments Analysis using a pattern mixture model of observed data with missing observations imputed from the placebo arm based on multiple (x10.000) imputations. The data for weeks 26 were then analysed with an ANCOVA model containing treatment, sex and age group as fixed effects and baseline value as covariate. The estimated treatment differences and confidence intervals were combined using Rubins formula.
Type of Statistical Test Superiority
Comments Stepwise hierarchical testing procedure was applied for confirmatory endpoints: Step 4: Change from baseline in BMI SDS after 26 weeks of treatment
Statistical Test of Hypothesis p-Value 0.392
Comments
Method Pattern Mixture Model
Comments
Method of Estimation Estimation Parameter Treatment difference
Estimated Value -0.047
Confidence Interval (2-Sided) 95%
-0.153 to 0.060
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.055
Estimation Comments
5. Secondary Outcome
Title Number of Subjects Having HbA1c Below 7.0%
Description Number of subjects achieving HbA1c <7.0% after 52 weeks. All available data were used for the analysis including data collected after treatment discontinuation and initiation of rescue medication.
Time Frame Week 52

Outcome Measure Data

Analysis Population Description
Full analysis set. Number of participants analysed=participants with available data.
Arm/Group Title Liraglutide 1.8 mg Placebo
Arm/Group Description After the run-in period, subjects were randomized to receive liraglutide subcutaneous injections once daily (in combination with metformin with or without basal insulin, on a background of diet and exercise) for 52 weeks (26 weeks double blind treatment period followed by a 26-week open-label extension period). The liraglutide dosing was started at 0.6 mg/day during the first week and escalated in weekly increments of 0.6 mg over the following 2-3 weeks. Dose escalation was based on tolerability, as judged by the investigator and on the average of three fasting plasma glucose (FPG) measurements performed by the subject at home on the 3 consecutive days before the dose escalation visit being >6.1 mmol/L (110 mg/dL). Subjects were treated with doses of 0.6, 1.2 or 1.8 after dose escalation. Subjects treated with liraglutide for more than 3 months were asked to return for follow-up visits one and two years after the end of the open label period (after trial drug cessation at week 52). After the run-in period, subjects were randomized to receive placebo (in combination with metformin with or without basal insulin, on a background of diet and exercise) for a 26 weeks double blind treatment period. The liraglutide placebo was administered once daily subcutaneously in equivalent volume as liraglutide. After 26 weeks, participants discontinued placebo and continued treatment with metformin (with or without basal insulin) during the open-label period.
Measure Participants 56 52
Yes
27
40.9%
16
23.5%
No
29
43.9%
36
52.9%
6. Secondary Outcome
Title Number of Subjects Having HbA1c Maximum 6.5%
Description Number of subjects achieving HbA1c <=6.5% after 26 weeks. All available data were used for the analysis including data collected after treatment discontinuation and initiation of rescue medication.
Time Frame Week 26

Outcome Measure Data

Analysis Population Description
Full analysis set. Number of participants analysed=participants with available data.
Arm/Group Title Liraglutide 1.8 mg Placebo
Arm/Group Description After the run-in period, subjects were randomized to receive liraglutide subcutaneous injections once daily (in combination with metformin with or without basal insulin, on a background of diet and exercise) for 52 weeks (26 weeks double blind treatment period followed by a 26-week open-label extension period). The liraglutide dosing was started at 0.6 mg/day during the first week and escalated in weekly increments of 0.6 mg over the following 2-3 weeks. Dose escalation was based on tolerability, as judged by the investigator and on the average of three fasting plasma glucose (FPG) measurements performed by the subject at home on the 3 consecutive days before the dose escalation visit being >6.1 mmol/L (110 mg/dL). Subjects were treated with doses of 0.6, 1.2 or 1.8 after dose escalation. Subjects treated with liraglutide for more than 3 months were asked to return for follow-up visits one and two years after the end of the open label period (after trial drug cessation at week 52). After the run-in period, subjects were randomized to receive placebo (in combination with metformin with or without basal insulin, on a background of diet and exercise) for a 26 weeks double blind treatment period. The liraglutide placebo was administered once daily subcutaneously in equivalent volume as liraglutide. After 26 weeks, participants discontinued placebo and continued treatment with metformin (with or without basal insulin) during the open-label period.
Measure Participants 59 58
Yes
28
42.4%
19
27.9%
No
31
47%
39
57.4%
7. Secondary Outcome
Title Number of Subjects Having HbA1c Maximum 6.5%
Description Number of subjects achieving HbA1c <=6.5% after 52 weeks. All available data were used for the analysis including data collected after treatment discontinuation and initiation of rescue medication.
Time Frame Week 52

Outcome Measure Data

Analysis Population Description
Full analysis set. Number of participants analysed=participants with available data.
Arm/Group Title Liraglutide 1.8 mg Placebo
Arm/Group Description After the run-in period, subjects were randomized to receive liraglutide subcutaneous injections once daily (in combination with metformin with or without basal insulin, on a background of diet and exercise) for 52 weeks (26 weeks double blind treatment period followed by a 26-week open-label extension period). The liraglutide dosing was started at 0.6 mg/day during the first week and escalated in weekly increments of 0.6 mg over the following 2-3 weeks. Dose escalation was based on tolerability, as judged by the investigator and on the average of three fasting plasma glucose (FPG) measurements performed by the subject at home on the 3 consecutive days before the dose escalation visit being >6.1 mmol/L (110 mg/dL). Subjects were treated with doses of 0.6, 1.2 or 1.8 after dose escalation. Subjects treated with liraglutide for more than 3 months were asked to return for follow-up visits one and two years after the end of the open label period (after trial drug cessation at week 52). After the run-in period, subjects were randomized to receive placebo (in combination with metformin with or without basal insulin, on a background of diet and exercise) for a 26 weeks double blind treatment period. The liraglutide placebo was administered once daily subcutaneously in equivalent volume as liraglutide. After 26 weeks, participants discontinued placebo and continued treatment with metformin (with or without basal insulin) during the open-label period.
Measure Participants 56 52
Yes
25
37.9%
13
19.1%
No
31
47%
39
57.4%
8. Secondary Outcome
Title Number of Subjects Having HbA1c Below 7.0% Without Severe or Minor Hypoglycaemic Episodes
Description Number of subjects achieving HbA1c <7.0% without severe or minor hypoglycaemic episodes after 26 weeks. Severe hypoglycaemia: An episode requiring assistance of another person to actively administer carbohydrate, glucagon, or other resuscitative actions. Minor hypoglycaemia was defined as meeting either of the below criteria: an episode with symptoms consistent with hypoglycaemia with confirmation by blood glucose <2.8 mmol/L (50 mg/dL) or plasma glucose <3.1 mmol/L (56 mg/dL), and which was handled by the subject him/herself any asymptomatic blood glucose value <2.8 mmol/L (50 mg/dL) or plasma glucose value <3.1 mmol/L (56 mg/dL) All available data were used for the analysis including data collected after treatment discontinuation and initiation of rescue medication.
Time Frame Week 26

Outcome Measure Data

Analysis Population Description
Full analysis set. Number of participants analysed=participants with available data.
Arm/Group Title Liraglutide 1.8 mg Placebo
Arm/Group Description After the run-in period, subjects were randomized to receive liraglutide subcutaneous injections once daily (in combination with metformin with or without basal insulin, on a background of diet and exercise) for 52 weeks (26 weeks double blind treatment period followed by a 26-week open-label extension period). The liraglutide dosing was started at 0.6 mg/day during the first week and escalated in weekly increments of 0.6 mg over the following 2-3 weeks. Dose escalation was based on tolerability, as judged by the investigator and on the average of three fasting plasma glucose (FPG) measurements performed by the subject at home on the 3 consecutive days before the dose escalation visit being >6.1 mmol/L (110 mg/dL). Subjects were treated with doses of 0.6, 1.2 or 1.8 after dose escalation. Subjects treated with liraglutide for more than 3 months were asked to return for follow-up visits one and two years after the end of the open label period (after trial drug cessation at week 52). After the run-in period, subjects were randomized to receive placebo (in combination with metformin with or without basal insulin, on a background of diet and exercise) for a 26 weeks double blind treatment period. The liraglutide placebo was administered once daily subcutaneously in equivalent volume as liraglutide. After 26 weeks, participants discontinued placebo and continued treatment with metformin (with or without basal insulin) during the open-label period.
Measure Participants 59 58
Yes
31
47%
21
30.9%
No
28
42.4%
37
54.4%
9. Secondary Outcome
Title Number of Subjects Having HbA1c Below 7.0% Without Severe or Minor Hypoglycaemic Episodes
Description Number of subjects achieving HbA1c <7.0% without severe or minor hypoglycaemic episodes after 52 weeks. Severe hypoglycaemia: An episode requiring assistance of another person to actively administer carbohydrate, glucagon, or other resuscitative actions. Minor hypoglycaemia was defined as meeting either of the below criteria: an episode with symptoms consistent with hypoglycaemia with confirmation by blood glucose <2.8 mmol/L (50 mg/dL) or plasma glucose <3.1 mmol/L (56 mg/dL), and which was handled by the subject him/herself any asymptomatic blood glucose value <2.8 mmol/L (50 mg/dL) or plasma glucose value <3.1 mmol/L (56 mg/dL) All available data were used for the analysis including data collected after treatment discontinuation and initiation of rescue medication.
Time Frame Week 52

Outcome Measure Data

Analysis Population Description
Full analysis set. Number of participants analysed=participants with available data.
Arm/Group Title Liraglutide 1.8 mg Placebo
Arm/Group Description After the run-in period, subjects were randomized to receive liraglutide subcutaneous injections once daily (in combination with metformin with or without basal insulin, on a background of diet and exercise) for 52 weeks (26 weeks double blind treatment period followed by a 26-week open-label extension period). The liraglutide dosing was started at 0.6 mg/day during the first week and escalated in weekly increments of 0.6 mg over the following 2-3 weeks. Dose escalation was based on tolerability, as judged by the investigator and on the average of three fasting plasma glucose (FPG) measurements performed by the subject at home on the 3 consecutive days before the dose escalation visit being >6.1 mmol/L (110 mg/dL). Subjects were treated with doses of 0.6, 1.2 or 1.8 after dose escalation. Subjects treated with liraglutide for more than 3 months were asked to return for follow-up visits one and two years after the end of the open label period (after trial drug cessation at week 52). After the run-in period, subjects were randomized to receive placebo (in combination with metformin with or without basal insulin, on a background of diet and exercise) for a 26 weeks double blind treatment period. The liraglutide placebo was administered once daily subcutaneously in equivalent volume as liraglutide. After 26 weeks, participants discontinued placebo and continued treatment with metformin (with or without basal insulin) during the open-label period.
Measure Participants 56 52
Yes
22
33.3%
16
23.5%
No
34
51.5%
36
52.9%
10. Secondary Outcome
Title Number of Subjects Having HbA1c Below 7.5%
Description Number of subjects achieving HbA1c <7.5% after 26 weeks. All available data were used for the analysis including data collected after treatment discontinuation and initiation of rescue medication.
Time Frame Week 26

Outcome Measure Data

Analysis Population Description
Full analysis set. Number of participants analysed=participants with available data.
Arm/Group Title Liraglutide 1.8 mg Placebo
Arm/Group Description After the run-in period, subjects were randomized to receive liraglutide subcutaneous injections once daily (in combination with metformin with or without basal insulin, on a background of diet and exercise) for 52 weeks (26 weeks double blind treatment period followed by a 26-week open-label extension period). The liraglutide dosing was started at 0.6 mg/day during the first week and escalated in weekly increments of 0.6 mg over the following 2-3 weeks. Dose escalation was based on tolerability, as judged by the investigator and on the average of three fasting plasma glucose (FPG) measurements performed by the subject at home on the 3 consecutive days before the dose escalation visit being >6.1 mmol/L (110 mg/dL). Subjects were treated with doses of 0.6, 1.2 or 1.8 after dose escalation. Subjects treated with liraglutide for more than 3 months were asked to return for follow-up visits one and two years after the end of the open label period (after trial drug cessation at week 52). After the run-in period, subjects were randomized to receive placebo (in combination with metformin with or without basal insulin, on a background of diet and exercise) for a 26 weeks double blind treatment period. The liraglutide placebo was administered once daily subcutaneously in equivalent volume as liraglutide. After 26 weeks, participants discontinued placebo and continued treatment with metformin (with or without basal insulin) during the open-label period.
Measure Participants 59 58
Yes
43
65.2%
29
42.6%
No
16
24.2%
29
42.6%
11. Secondary Outcome
Title Number of Subjects Having HbA1c Below 7.5%
Description Number of subjects achieving HbA1c <7.5% after 52 weeks. All available data were used for the analysis including data collected after treatment discontinuation and initiation of rescue medication.
Time Frame Week 52

Outcome Measure Data

Analysis Population Description
Full analysis set. Number of participants analysed=participants with available data.
Arm/Group Title Liraglutide 1.8 mg Placebo
Arm/Group Description After the run-in period, subjects were randomized to receive liraglutide subcutaneous injections once daily (in combination with metformin with or without basal insulin, on a background of diet and exercise) for 52 weeks (26 weeks double blind treatment period followed by a 26-week open-label extension period). The liraglutide dosing was started at 0.6 mg/day during the first week and escalated in weekly increments of 0.6 mg over the following 2-3 weeks. Dose escalation was based on tolerability, as judged by the investigator and on the average of three fasting plasma glucose (FPG) measurements performed by the subject at home on the 3 consecutive days before the dose escalation visit being >6.1 mmol/L (110 mg/dL). Subjects were treated with doses of 0.6, 1.2 or 1.8 after dose escalation. Subjects treated with liraglutide for more than 3 months were asked to return for follow-up visits one and two years after the end of the open label period (after trial drug cessation at week 52). After the run-in period, subjects were randomized to receive placebo (in combination with metformin with or without basal insulin, on a background of diet and exercise) for a 26 weeks double blind treatment period. The liraglutide placebo was administered once daily subcutaneously in equivalent volume as liraglutide. After 26 weeks, participants discontinued placebo and continued treatment with metformin (with or without basal insulin) during the open-label period.
Measure Participants 56 52
Yes
36
54.5%
23
33.8%
No
20
30.3%
29
42.6%
12. Secondary Outcome
Title Change in HbA1c
Description Change in HbA1c from baseline to week 52. All available data were used for the analysis, including data collected after treatment discontinuation and initiation of rescue medication.
Time Frame Week 0, week 52

Outcome Measure Data

Analysis Population Description
Full analysis set. Number of participants analysed=participants with available data.
Arm/Group Title Liraglutide 1.8 mg Placebo
Arm/Group Description After the run-in period, subjects were randomized to receive liraglutide subcutaneous injections once daily (in combination with metformin with or without basal insulin, on a background of diet and exercise) for 52 weeks (26 weeks double blind treatment period followed by a 26-week open-label extension period). The liraglutide dosing was started at 0.6 mg/day during the first week and escalated in weekly increments of 0.6 mg over the following 2-3 weeks. Dose escalation was based on tolerability, as judged by the investigator and on the average of three fasting plasma glucose (FPG) measurements performed by the subject at home on the 3 consecutive days before the dose escalation visit being >6.1 mmol/L (110 mg/dL). Subjects were treated with doses of 0.6, 1.2 or 1.8 after dose escalation. Subjects treated with liraglutide for more than 3 months were asked to return for follow-up visits one and two years after the end of the open label period (after trial drug cessation at week 52). After the run-in period, subjects were randomized to receive placebo (in combination with metformin with or without basal insulin, on a background of diet and exercise) for a 26 weeks double blind treatment period. The liraglutide placebo was administered once daily subcutaneously in equivalent volume as liraglutide. After 26 weeks, participants discontinued placebo and continued treatment with metformin (with or without basal insulin) during the open-label period.
Measure Participants 56 52
Mean (Standard Deviation) [percentage of HbA1c]
-0.732
(1.423)
0.677
(1.523)
13. Secondary Outcome
Title Change in FPG
Description Change in FPG from baseline to week 52. All available data were used for the analysis, including data collected after treatment discontinuation and initiation of rescue medication.
Time Frame Week 0, week 52

Outcome Measure Data

Analysis Population Description
Full analysis set. Number of participants analysed=participants with available data.
Arm/Group Title Liraglutide 1.8 mg Placebo
Arm/Group Description After the run-in period, subjects were randomized to receive liraglutide subcutaneous injections once daily (in combination with metformin with or without basal insulin, on a background of diet and exercise) for 52 weeks (26 weeks double blind treatment period followed by a 26-week open-label extension period). The liraglutide dosing was started at 0.6 mg/day during the first week and escalated in weekly increments of 0.6 mg over the following 2-3 weeks. Dose escalation was based on tolerability, as judged by the investigator and on the average of three fasting plasma glucose (FPG) measurements performed by the subject at home on the 3 consecutive days before the dose escalation visit being >6.1 mmol/L (110 mg/dL). Subjects were treated with doses of 0.6, 1.2 or 1.8 after dose escalation. Subjects treated with liraglutide for more than 3 months were asked to return for follow-up visits one and two years after the end of the open label period (after trial drug cessation at week 52). After the run-in period, subjects were randomized to receive placebo (in combination with metformin with or without basal insulin, on a background of diet and exercise) for a 26 weeks double blind treatment period. The liraglutide placebo was administered once daily subcutaneously in equivalent volume as liraglutide. After 26 weeks, participants discontinued placebo and continued treatment with metformin (with or without basal insulin) during the open-label period.
Measure Participants 56 53
Mean (Standard Deviation) [mmol/L]
-1.627
(2.717)
0.983
(3.954)
14. Secondary Outcome
Title Change in Mean 7-point Self-measured Plasma Glucose
Description Change in mean 7-point self-measured plasma glucose after 26 weeks. Subjects were instructed to measure their plasma glucose at following timepoints: before breakfast, 90 minutes after start of breakfast, before lunch, 90 minutes after start of lunch, before dinner, 90 minutes after start of dinner and at bedtime. Mean 7-point SMPG was defined as the area under the profile (calculated using the trapezoidal method) divided by time. All available data were used for the analysis including data collected after treatment discontinuation and initiation of rescue medication.
Time Frame Week 0, week 26

Outcome Measure Data

Analysis Population Description
Full analysis set. Number of participants analysed=participants with available data.
Arm/Group Title Liraglutide 1.8 mg Placebo
Arm/Group Description After the run-in period, subjects were randomized to receive liraglutide subcutaneous injections once daily (in combination with metformin with or without basal insulin, on a background of diet and exercise) for 52 weeks (26 weeks double blind treatment period followed by a 26-week open-label extension period). The liraglutide dosing was started at 0.6 mg/day during the first week and escalated in weekly increments of 0.6 mg over the following 2-3 weeks. Dose escalation was based on tolerability, as judged by the investigator and on the average of three fasting plasma glucose (FPG) measurements performed by the subject at home on the 3 consecutive days before the dose escalation visit being >6.1 mmol/L (110 mg/dL). Subjects were treated with doses of 0.6, 1.2 or 1.8 after dose escalation. Subjects treated with liraglutide for more than 3 months were asked to return for follow-up visits one and two years after the end of the open label period (after trial drug cessation at week 52). After the run-in period, subjects were randomized to receive placebo (in combination with metformin with or without basal insulin, on a background of diet and exercise) for a 26 weeks double blind treatment period. The liraglutide placebo was administered once daily subcutaneously in equivalent volume as liraglutide. After 26 weeks, participants discontinued placebo and continued treatment with metformin (with or without basal insulin) during the open-label period.
Measure Participants 39 46
Mean (Standard Deviation) [mmol/L]
-2.384
(2.638)
0.198
(2.056)
15. Secondary Outcome
Title Change From Baseline in 7-point Self-measured Plasma Glucose
Description Change in mean 7-point self-measured plasma glucose after 52 weeks. Subjects were instructed to measure their plasma glucose at following timepoints: before breakfast, 90 minutes after start of breakfast, before lunch, 90 minutes after start of lunch, before dinner, 90 minutes after start of dinner and at bedtime. Mean 7-point SMPG was defined as the area under the profile (calculated using the trapezoidal method) divided by time. All available data were used for the analysis including data collected after treatment discontinuation and initiation of rescue medication.
Time Frame Week 0, week 52

Outcome Measure Data

Analysis Population Description
Full analysis set. Number of participants analysed=participants with available data.
Arm/Group Title Liraglutide 1.8 mg Placebo
Arm/Group Description After the run-in period, subjects were randomized to receive liraglutide subcutaneous injections once daily (in combination with metformin with or without basal insulin, on a background of diet and exercise) for 52 weeks (26 weeks double blind treatment period followed by a 26-week open-label extension period). The liraglutide dosing was started at 0.6 mg/day during the first week and escalated in weekly increments of 0.6 mg over the following 2-3 weeks. Dose escalation was based on tolerability, as judged by the investigator and on the average of three fasting plasma glucose (FPG) measurements performed by the subject at home on the 3 consecutive days before the dose escalation visit being >6.1 mmol/L (110 mg/dL). Subjects were treated with doses of 0.6, 1.2 or 1.8 after dose escalation. Subjects treated with liraglutide for more than 3 months were asked to return for follow-up visits one and two years after the end of the open label period (after trial drug cessation at week 52). After the run-in period, subjects were randomized to receive placebo (in combination with metformin with or without basal insulin, on a background of diet and exercise) for a 26 weeks double blind treatment period. The liraglutide placebo was administered once daily subcutaneously in equivalent volume as liraglutide. After 26 weeks, participants discontinued placebo and continued treatment with metformin (with or without basal insulin) during the open-label period.
Measure Participants 41 39
Mean (Standard Deviation) [mmol/L]
-2.309
(2.968)
-0.748
(1.944)
16. Secondary Outcome
Title Change in Post-prandial Increments (From Before Meal to 90 Min After Breakfast, Lunch, and Dinner)
Description Change in post-prandial increments (from before meal to 90 min after breakfast, lunch, and dinner) after 26 weeks. Post-prandial increment for each meal (breakfast, lunch, and dinner) was derived from the 7-point SMPG profile as the difference between post-prandial plasma glucose values and the plasma glucose values before the meal. All available data were used for the analysis including data collected after treatment discontinuation and initiation of rescue medication.
Time Frame Week 0, week 26

Outcome Measure Data

Analysis Population Description
Full analysis set. Number of analysed=participants with available data for specified timepoints.
Arm/Group Title Liraglutide 1.8 mg Placebo
Arm/Group Description After the run-in period, subjects were randomized to receive liraglutide subcutaneous injections once daily (in combination with metformin with or without basal insulin, on a background of diet and exercise) for 52 weeks (26 weeks double blind treatment period followed by a 26-week open-label extension period). The liraglutide dosing was started at 0.6 mg/day during the first week and escalated in weekly increments of 0.6 mg over the following 2-3 weeks. Dose escalation was based on tolerability, as judged by the investigator and on the average of three fasting plasma glucose (FPG) measurements performed by the subject at home on the 3 consecutive days before the dose escalation visit being >6.1 mmol/L (110 mg/dL). Subjects were treated with doses of 0.6, 1.2 or 1.8 after dose escalation. Subjects treated with liraglutide for more than 3 months were asked to return for follow-up visits one and two years after the end of the open label period (after trial drug cessation at week 52). After the run-in period, subjects were randomized to receive placebo (in combination with metformin with or without basal insulin, on a background of diet and exercise) for a 26 weeks double blind treatment period. The liraglutide placebo was administered once daily subcutaneously in equivalent volume as liraglutide. After 26 weeks, participants discontinued placebo and continued treatment with metformin (with or without basal insulin) during the open-label period.
Measure Participants 41 46
Breakfast
-1.528
(3.168)
-0.319
(3.228)
Lunch
-0.358
(3.281)
-0.658
(3.421)
Dinner
0.397
(3.790)
-0.226
(2.806)
17. Secondary Outcome
Title Change in Post-prandial Increments (From Before Meal to 90 Min After Breakfast, Lunch, and Dinner)
Description Change in post-prandial increments (from before meal to 90 min after breakfast, lunch, and dinner) after 52 weeks. Post-prandial increment for each meal (breakfast, lunch, and dinner) was derived from the 7-point SMPG profile as the difference between post-prandial plasma glucose values and the plasma glucose values before the meal. All available data were used for the analysis including data collected after treatment discontinuation and initiation of rescue medication.
Time Frame Week 0, week 52

Outcome Measure Data

Analysis Population Description
Full analysis set. Number of analysed=participants with available data for specified timepoints.
Arm/Group Title Liraglutide 1.8 mg Placebo
Arm/Group Description After the run-in period, subjects were randomized to receive liraglutide subcutaneous injections once daily (in combination with metformin with or without basal insulin, on a background of diet and exercise) for 52 weeks (26 weeks double blind treatment period followed by a 26-week open-label extension period). The liraglutide dosing was started at 0.6 mg/day during the first week and escalated in weekly increments of 0.6 mg over the following 2-3 weeks. Dose escalation was based on tolerability, as judged by the investigator and on the average of three fasting plasma glucose (FPG) measurements performed by the subject at home on the 3 consecutive days before the dose escalation visit being >6.1 mmol/L (110 mg/dL). Subjects were treated with doses of 0.6, 1.2 or 1.8 after dose escalation. Subjects treated with liraglutide for more than 3 months were asked to return for follow-up visits one and two years after the end of the open label period (after trial drug cessation at week 52). After the run-in period, subjects were randomized to receive placebo (in combination with metformin with or without basal insulin, on a background of diet and exercise) for a 26 weeks double blind treatment period. The liraglutide placebo was administered once daily subcutaneously in equivalent volume as liraglutide. After 26 weeks, participants discontinued placebo and continued treatment with metformin (with or without basal insulin) during the open-label period.
Measure Participants 42 38
Breakfast
-1.802
(3.338)
0.053
(2.124)
Lunch
-0.735
(3.809)
-1.219
(3.038)
Dinner
-0.028
(3.501)
-0.195
(2.803)
18. Secondary Outcome
Title Change in Mean Post-prandial Increment Across All Three Meals (Breakfast, Lunch, and Dinner)
Description Change in mean post-prandial increment across all three meals (breakfast, lunch, and dinner) after 26 weeks. Post-prandial increment for each meal (breakfast, lunch, and dinner) was derived from the 7-point SMPG profile as the difference between post-prandial plasma glucose values and the plasma glucose values before the meal. All available data were used for the analysis including data collected after treatment discontinuation and initiation of rescue medication.
Time Frame Week 0, week 26

Outcome Measure Data

Analysis Population Description
Full analysis set. Number of analysed=participants with available data.
Arm/Group Title Liraglutide 1.8 mg Placebo
Arm/Group Description After the run-in period, subjects were randomized to receive liraglutide subcutaneous injections once daily (in combination with metformin with or without basal insulin, on a background of diet and exercise) for 52 weeks (26 weeks double blind treatment period followed by a 26-week open-label extension period). The liraglutide dosing was started at 0.6 mg/day during the first week and escalated in weekly increments of 0.6 mg over the following 2-3 weeks. Dose escalation was based on tolerability, as judged by the investigator and on the average of three fasting plasma glucose (FPG) measurements performed by the subject at home on the 3 consecutive days before the dose escalation visit being >6.1 mmol/L (110 mg/dL). Subjects were treated with doses of 0.6, 1.2 or 1.8 after dose escalation. Subjects treated with liraglutide for more than 3 months were asked to return for follow-up visits one and two years after the end of the open label period (after trial drug cessation at week 52). After the run-in period, subjects were randomized to receive placebo (in combination with metformin with or without basal insulin, on a background of diet and exercise) for a 26 weeks double blind treatment period. The liraglutide placebo was administered once daily subcutaneously in equivalent volume as liraglutide. After 26 weeks, participants discontinued placebo and continued treatment with metformin (with or without basal insulin) during the open-label period.
Measure Participants 40 46
Mean (Standard Deviation) [mmol/L]
-0.428
(2.172)
-0.362
(1.733)
19. Secondary Outcome
Title Change in Mean Post-prandial Increment Across All Three Meals (Breakfast, Lunch, and Dinner)
Description Change in mean post-prandial increment across all three meals (breakfast, lunch, and dinner) after 52 weeks. Post-prandial increment for each meal (breakfast, lunch, and dinner) was derived from the 7-point SMPG profile as the difference between post-prandial plasma glucose values and the plasma glucose values before the meal. All available data were used for the analysis including data collected after treatment discontinuation and initiation of rescue medication.
Time Frame Week 0, week 52

Outcome Measure Data

Analysis Population Description
Full analysis set. Number of analysed=participants with available data.
Arm/Group Title Liraglutide 1.8 mg Placebo
Arm/Group Description After the run-in period, subjects were randomized to receive liraglutide subcutaneous injections once daily (in combination with metformin with or without basal insulin, on a background of diet and exercise) for 52 weeks (26 weeks double blind treatment period followed by a 26-week open-label extension period). The liraglutide dosing was started at 0.6 mg/day during the first week and escalated in weekly increments of 0.6 mg over the following 2-3 weeks. Dose escalation was based on tolerability, as judged by the investigator and on the average of three fasting plasma glucose (FPG) measurements performed by the subject at home on the 3 consecutive days before the dose escalation visit being >6.1 mmol/L (110 mg/dL). Subjects were treated with doses of 0.6, 1.2 or 1.8 after dose escalation. Subjects treated with liraglutide for more than 3 months were asked to return for follow-up visits one and two years after the end of the open label period (after trial drug cessation at week 52). After the run-in period, subjects were randomized to receive placebo (in combination with metformin with or without basal insulin, on a background of diet and exercise) for a 26 weeks double blind treatment period. The liraglutide placebo was administered once daily subcutaneously in equivalent volume as liraglutide. After 26 weeks, participants discontinued placebo and continued treatment with metformin (with or without basal insulin) during the open-label period.
Measure Participants 41 39
Mean (Standard Deviation) [mmol/L]
-0.747
(2.245)
-0.397
(1.594)
20. Secondary Outcome
Title Change From Baseline in Body Weight
Description Change from baseline in body weight after 26 weeks. All available data were used for the analysis including data collected after treatment discontinuation and initiation of rescue medication.
Time Frame Week 0, week 26

Outcome Measure Data

Analysis Population Description
Full analysis set. Number of participants analysed=participants with available data.
Arm/Group Title Liraglutide 1.8 mg Placebo
Arm/Group Description After the run-in period, subjects were randomized to receive liraglutide subcutaneous injections once daily (in combination with metformin with or without basal insulin, on a background of diet and exercise) for 52 weeks (26 weeks double blind treatment period followed by a 26-week open-label extension period). The liraglutide dosing was started at 0.6 mg/day during the first week and escalated in weekly increments of 0.6 mg over the following 2-3 weeks. Dose escalation was based on tolerability, as judged by the investigator and on the average of three fasting plasma glucose (FPG) measurements performed by the subject at home on the 3 consecutive days before the dose escalation visit being >6.1 mmol/L (110 mg/dL). Subjects were treated with doses of 0.6, 1.2 or 1.8 after dose escalation. Subjects treated with liraglutide for more than 3 months were asked to return for follow-up visits one and two years after the end of the open label period (after trial drug cessation at week 52). After the run-in period, subjects were randomized to receive placebo (in combination with metformin with or without basal insulin, on a background of diet and exercise) for a 26 weeks double blind treatment period. The liraglutide placebo was administered once daily subcutaneously in equivalent volume as liraglutide. After 26 weeks, participants discontinued placebo and continued treatment with metformin (with or without basal insulin) during the open-label period.
Measure Participants 60 58
Mean (Standard Deviation) [kg]
-2.48
(5.59)
-0.87
(3.84)
21. Secondary Outcome
Title Change From Baseline in Body Weight
Description Change from baseline in body weight after 52 weeks. All available data were used for the analysis including data collected after treatment discontinuation and initiation of rescue medication.
Time Frame Week 0, week 52

Outcome Measure Data

Analysis Population Description
Full analysis set. Number of participants analysed=participants with available data.
Arm/Group Title Liraglutide 1.8 mg Placebo
Arm/Group Description After the run-in period, subjects were randomized to receive liraglutide subcutaneous injections once daily (in combination with metformin with or without basal insulin, on a background of diet and exercise) for 52 weeks (26 weeks double blind treatment period followed by a 26-week open-label extension period). The liraglutide dosing was started at 0.6 mg/day during the first week and escalated in weekly increments of 0.6 mg over the following 2-3 weeks. Dose escalation was based on tolerability, as judged by the investigator and on the average of three fasting plasma glucose (FPG) measurements performed by the subject at home on the 3 consecutive days before the dose escalation visit being >6.1 mmol/L (110 mg/dL). Subjects were treated with doses of 0.6, 1.2 or 1.8 after dose escalation. Subjects treated with liraglutide for more than 3 months were asked to return for follow-up visits one and two years after the end of the open label period (after trial drug cessation at week 52). After the run-in period, subjects were randomized to receive placebo (in combination with metformin with or without basal insulin, on a background of diet and exercise) for a 26 weeks double blind treatment period. The liraglutide placebo was administered once daily subcutaneously in equivalent volume as liraglutide. After 26 weeks, participants discontinued placebo and continued treatment with metformin (with or without basal insulin) during the open-label period.
Measure Participants 56 53
Mean (Standard Deviation) [kg]
-2.27
(8.05)
1.02
(4.64)
22. Secondary Outcome
Title Change From Baseline in BMI Standard Deviation Score (SDS)
Description Change in BMI SDS from baseline to week 52. BMI SDS was calculated using the following formula: Z=[(value /M)^L - 1] / S*L; where L, M and S are median (M), skewness (L) and variation coefficient (S) of children/adolescents' BMI provided for each sex and age. For each subject, a standard deviation score Z (SDS) was calculated based on age and sex referring to the values L, M and S. The method is described in the WHO Multicentre Growth Reference, which also contains the values for L, M and S by age and sex. For Z (SDS) scores below -3 and above 3, the score was adjusted as described in the WHO instruction. All available data were used for the analysis including data collected after treatment discontinuation and initiation of rescue medication.
Time Frame Week 0, week 52

Outcome Measure Data

Analysis Population Description
Full analysis set. Number of participants analysed=participants with available data.
Arm/Group Title Liraglutide 1.8 mg Placebo
Arm/Group Description After the run-in period, subjects were randomized to receive liraglutide subcutaneous injections once daily (in combination with metformin with or without basal insulin, on a background of diet and exercise) for 52 weeks (26 weeks double blind treatment period followed by a 26-week open-label extension period). The liraglutide dosing was started at 0.6 mg/day during the first week and escalated in weekly increments of 0.6 mg over the following 2-3 weeks. Dose escalation was based on tolerability, as judged by the investigator and on the average of three fasting plasma glucose (FPG) measurements performed by the subject at home on the 3 consecutive days before the dose escalation visit being >6.1 mmol/L (110 mg/dL). Subjects were treated with doses of 0.6, 1.2 or 1.8 after dose escalation. Subjects treated with liraglutide for more than 3 months were asked to return for follow-up visits one and two years after the end of the open label period (after trial drug cessation at week 52). After the run-in period, subjects were randomized to receive placebo (in combination with metformin with or without basal insulin, on a background of diet and exercise) for a 26 weeks double blind treatment period. The liraglutide placebo was administered once daily subcutaneously in equivalent volume as liraglutide. After 26 weeks, participants discontinued placebo and continued treatment with metformin (with or without basal insulin) during the open-label period.
Measure Participants 56 53
Mean (Standard Deviation) [SDS score]
-0.361
(0.542)
-0.166
(0.330)
23. Secondary Outcome
Title Change in Blood Pressure (Systolic and Diastolic Blood Pressure)
Description Change in blood pressure (systolic and diastolic blood pressure) after 26 weeks. All available data were used for the analysis including data collected after treatment discontinuation and initiation of rescue medication.
Time Frame Week 0, week 26

Outcome Measure Data

Analysis Population Description
Full analysis set. Number of participants analysed=participants with available data.
Arm/Group Title Liraglutide 1.8 mg Placebo
Arm/Group Description After the run-in period, subjects were randomized to receive liraglutide subcutaneous injections once daily (in combination with metformin with or without basal insulin, on a background of diet and exercise) for 52 weeks (26 weeks double blind treatment period followed by a 26-week open-label extension period). The liraglutide dosing was started at 0.6 mg/day during the first week and escalated in weekly increments of 0.6 mg over the following 2-3 weeks. Dose escalation was based on tolerability, as judged by the investigator and on the average of three fasting plasma glucose (FPG) measurements performed by the subject at home on the 3 consecutive days before the dose escalation visit being >6.1 mmol/L (110 mg/dL). Subjects were treated with doses of 0.6, 1.2 or 1.8 after dose escalation. Subjects treated with liraglutide for more than 3 months were asked to return for follow-up visits one and two years after the end of the open label period (after trial drug cessation at week 52). After the run-in period, subjects were randomized to receive placebo (in combination with metformin with or without basal insulin, on a background of diet and exercise) for a 26 weeks double blind treatment period. The liraglutide placebo was administered once daily subcutaneously in equivalent volume as liraglutide. After 26 weeks, participants discontinued placebo and continued treatment with metformin (with or without basal insulin) during the open-label period.
Measure Participants 60 58
Systolic Blood Pressure
-1.65
(10.69)
0.03
(10.05)
Diastolic Blood Pressure
-1.27
(8.39)
0.97
(7.65)
24. Secondary Outcome
Title Change in Blood Pressure (Systolic and Diastolic Blood Pressure)
Description Change in blood pressure (systolic and diastolic blood pressure) after 52 weeks. All available data were used for the analysis including data collected after treatment discontinuation and initiation of rescue medication.
Time Frame Week 0, week 52

Outcome Measure Data

Analysis Population Description
Full analysis set. Number of participants analysed=participants with available data.
Arm/Group Title Liraglutide 1.8 mg Placebo
Arm/Group Description After the run-in period, subjects were randomized to receive liraglutide subcutaneous injections once daily (in combination with metformin with or without basal insulin, on a background of diet and exercise) for 52 weeks (26 weeks double blind treatment period followed by a 26-week open-label extension period). The liraglutide dosing was started at 0.6 mg/day during the first week and escalated in weekly increments of 0.6 mg over the following 2-3 weeks. Dose escalation was based on tolerability, as judged by the investigator and on the average of three fasting plasma glucose (FPG) measurements performed by the subject at home on the 3 consecutive days before the dose escalation visit being >6.1 mmol/L (110 mg/dL). Subjects were treated with doses of 0.6, 1.2 or 1.8 after dose escalation. Subjects treated with liraglutide for more than 3 months were asked to return for follow-up visits one and two years after the end of the open label period (after trial drug cessation at week 52). After the run-in period, subjects were randomized to receive placebo (in combination with metformin with or without basal insulin, on a background of diet and exercise) for a 26 weeks double blind treatment period. The liraglutide placebo was administered once daily subcutaneously in equivalent volume as liraglutide. After 26 weeks, participants discontinued placebo and continued treatment with metformin (with or without basal insulin) during the open-label period.
Measure Participants 56 53
Systolic Blood Pressure
-0.77
(11.77)
2.81
(8.48)
Diastolic Blood Pressure
0.46
(10.01)
1.83
(7.26)
25. Secondary Outcome
Title Ratio to Baseline: Fasting Insulin
Description Ratio to baseline (fasting insulin) at week 26. All available data were used for the analysis including data collected after treatment discontinuation and initiation of rescue medication.
Time Frame Week 0, week 26

Outcome Measure Data

Analysis Population Description
Full analysis set. Number of participants analysed=participants with available data.
Arm/Group Title Liraglutide 1.8 mg Placebo
Arm/Group Description After the run-in period, subjects were randomized to receive liraglutide subcutaneous injections once daily (in combination with metformin with or without basal insulin, on a background of diet and exercise) for 52 weeks (26 weeks double blind treatment period followed by a 26-week open-label extension period). The liraglutide dosing was started at 0.6 mg/day during the first week and escalated in weekly increments of 0.6 mg over the following 2-3 weeks. Dose escalation was based on tolerability, as judged by the investigator and on the average of three fasting plasma glucose (FPG) measurements performed by the subject at home on the 3 consecutive days before the dose escalation visit being >6.1 mmol/L (110 mg/dL). Subjects were treated with doses of 0.6, 1.2 or 1.8 after dose escalation. Subjects treated with liraglutide for more than 3 months were asked to return for follow-up visits one and two years after the end of the open label period (after trial drug cessation at week 52). After the run-in period, subjects were randomized to receive placebo (in combination with metformin with or without basal insulin, on a background of diet and exercise) for a 26 weeks double blind treatment period. The liraglutide placebo was administered once daily subcutaneously in equivalent volume as liraglutide. After 26 weeks, participants discontinued placebo and continued treatment with metformin (with or without basal insulin) during the open-label period.
Measure Participants 59 57
Geometric Mean (Geometric Coefficient of Variation) [ratio]
0.9
(76.4)
1.0
(77.9)
26. Secondary Outcome
Title Ratio to Baseline: Fasting Insulin
Description Ratio to baseline (fasting insulin) at week 52. All available data were used for the analysis including data collected after treatment discontinuation and initiation of rescue medication.
Time Frame Week 0, week 52

Outcome Measure Data

Analysis Population Description
Full analysis set. Number of participants analysed=participants with available data.
Arm/Group Title Liraglutide 1.8 mg Placebo
Arm/Group Description After the run-in period, subjects were randomized to receive liraglutide subcutaneous injections once daily (in combination with metformin with or without basal insulin, on a background of diet and exercise) for 52 weeks (26 weeks double blind treatment period followed by a 26-week open-label extension period). The liraglutide dosing was started at 0.6 mg/day during the first week and escalated in weekly increments of 0.6 mg over the following 2-3 weeks. Dose escalation was based on tolerability, as judged by the investigator and on the average of three fasting plasma glucose (FPG) measurements performed by the subject at home on the 3 consecutive days before the dose escalation visit being >6.1 mmol/L (110 mg/dL). Subjects were treated with doses of 0.6, 1.2 or 1.8 after dose escalation. Subjects treated with liraglutide for more than 3 months were asked to return for follow-up visits one and two years after the end of the open label period (after trial drug cessation at week 52). After the run-in period, subjects were randomized to receive placebo (in combination with metformin with or without basal insulin, on a background of diet and exercise) for a 26 weeks double blind treatment period. The liraglutide placebo was administered once daily subcutaneously in equivalent volume as liraglutide. After 26 weeks, participants discontinued placebo and continued treatment with metformin (with or without basal insulin) during the open-label period.
Measure Participants 54 53
Geometric Mean (Geometric Coefficient of Variation) [ratio]
1.0
(80.6)
1.1
(142.8)
27. Secondary Outcome
Title Ratio to Baseline: Fasting Pro-insulin
Description Ratio to baseline (fasting pro-insulin) at week 26. All available data were used for the analysis including data collected after treatment discontinuation and initiation of rescue medication.
Time Frame Week 0, week 26

Outcome Measure Data

Analysis Population Description
Full analysis set. Number of participants analysed=participants with available data.
Arm/Group Title Liraglutide 1.8 mg Placebo
Arm/Group Description After the run-in period, subjects were randomized to receive liraglutide subcutaneous injections once daily (in combination with metformin with or without basal insulin, on a background of diet and exercise) for 52 weeks (26 weeks double blind treatment period followed by a 26-week open-label extension period). The liraglutide dosing was started at 0.6 mg/day during the first week and escalated in weekly increments of 0.6 mg over the following 2-3 weeks. Dose escalation was based on tolerability, as judged by the investigator and on the average of three fasting plasma glucose (FPG) measurements performed by the subject at home on the 3 consecutive days before the dose escalation visit being >6.1 mmol/L (110 mg/dL). Subjects were treated with doses of 0.6, 1.2 or 1.8 after dose escalation. Subjects treated with liraglutide for more than 3 months were asked to return for follow-up visits one and two years after the end of the open label period (after trial drug cessation at week 52). After the run-in period, subjects were randomized to receive placebo (in combination with metformin with or without basal insulin, on a background of diet and exercise) for a 26 weeks double blind treatment period. The liraglutide placebo was administered once daily subcutaneously in equivalent volume as liraglutide. After 26 weeks, participants discontinued placebo and continued treatment with metformin (with or without basal insulin) during the open-label period.
Measure Participants 56 55
Geometric Mean (Geometric Coefficient of Variation) [ratio]
0.62
(110.3)
0.88
(131.6)
28. Secondary Outcome
Title Ratio to Baseline: Fasting Pro-insulin
Description Ratio to baseline (fasting pro-insulin) at week 52. All available data were used for the analysis including data collected after treatment discontinuation and initiation of rescue medication.
Time Frame Week 0, week 52

Outcome Measure Data

Analysis Population Description
Full analysis set. Number of participants analysed=participants with available data.
Arm/Group Title Liraglutide 1.8 mg Placebo
Arm/Group Description After the run-in period, subjects were randomized to receive liraglutide subcutaneous injections once daily (in combination with metformin with or without basal insulin, on a background of diet and exercise) for 52 weeks (26 weeks double blind treatment period followed by a 26-week open-label extension period). The liraglutide dosing was started at 0.6 mg/day during the first week and escalated in weekly increments of 0.6 mg over the following 2-3 weeks. Dose escalation was based on tolerability, as judged by the investigator and on the average of three fasting plasma glucose (FPG) measurements performed by the subject at home on the 3 consecutive days before the dose escalation visit being >6.1 mmol/L (110 mg/dL). Subjects were treated with doses of 0.6, 1.2 or 1.8 after dose escalation. Subjects treated with liraglutide for more than 3 months were asked to return for follow-up visits one and two years after the end of the open label period (after trial drug cessation at week 52). After the run-in period, subjects were randomized to receive placebo (in combination with metformin with or without basal insulin, on a background of diet and exercise) for a 26 weeks double blind treatment period. The liraglutide placebo was administered once daily subcutaneously in equivalent volume as liraglutide. After 26 weeks, participants discontinued placebo and continued treatment with metformin (with or without basal insulin) during the open-label period.
Measure Participants 54 49
Geometric Mean (Geometric Coefficient of Variation) [ratio]
0.62
(118.0)
0.79
(121.0)
29. Secondary Outcome
Title Ratio to Baseline: Pro-insulin/Insulin Ratio
Description Ratio to baseline (Pro-insulin/insulin ratio) after week 26. All available data were used for the analysis including data collected after treatment discontinuation and initiation of rescue medication.
Time Frame Week 0, week 26

Outcome Measure Data

Analysis Population Description
Full analysis set. Number of participants analysed=participants with available data.
Arm/Group Title Liraglutide 1.8 mg Placebo
Arm/Group Description After the run-in period, subjects were randomized to receive liraglutide subcutaneous injections once daily (in combination with metformin with or without basal insulin, on a background of diet and exercise) for 52 weeks (26 weeks double blind treatment period followed by a 26-week open-label extension period). The liraglutide dosing was started at 0.6 mg/day during the first week and escalated in weekly increments of 0.6 mg over the following 2-3 weeks. Dose escalation was based on tolerability, as judged by the investigator and on the average of three fasting plasma glucose (FPG) measurements performed by the subject at home on the 3 consecutive days before the dose escalation visit being >6.1 mmol/L (110 mg/dL). Subjects were treated with doses of 0.6, 1.2 or 1.8 after dose escalation. Subjects treated with liraglutide for more than 3 months were asked to return for follow-up visits one and two years after the end of the open label period (after trial drug cessation at week 52). After the run-in period, subjects were randomized to receive placebo (in combination with metformin with or without basal insulin, on a background of diet and exercise) for a 26 weeks double blind treatment period. The liraglutide placebo was administered once daily subcutaneously in equivalent volume as liraglutide. After 26 weeks, participants discontinued placebo and continued treatment with metformin (with or without basal insulin) during the open-label period.
Measure Participants 55 54
Geometric Mean (Geometric Coefficient of Variation) [ratio]
0.690
(102.4)
0.923
(197.6)
30. Secondary Outcome
Title Ratio to Baseline: Pro-insulin/Insulin Ratio
Description Ratio to baseline (Pro-insulin/insulin ratio) after week 52. All available data were used for the analysis including data collected after treatment discontinuation and initiation of rescue medication.
Time Frame Week 0, week 52

Outcome Measure Data

Analysis Population Description
Full analysis set. Number of participants analysed=participants with available data.
Arm/Group Title Liraglutide 1.8 mg Placebo
Arm/Group Description After the run-in period, subjects were randomized to receive liraglutide subcutaneous injections once daily (in combination with metformin with or without basal insulin, on a background of diet and exercise) for 52 weeks (26 weeks double blind treatment period followed by a 26-week open-label extension period). The liraglutide dosing was started at 0.6 mg/day during the first week and escalated in weekly increments of 0.6 mg over the following 2-3 weeks. Dose escalation was based on tolerability, as judged by the investigator and on the average of three fasting plasma glucose (FPG) measurements performed by the subject at home on the 3 consecutive days before the dose escalation visit being >6.1 mmol/L (110 mg/dL). Subjects were treated with doses of 0.6, 1.2 or 1.8 after dose escalation. Subjects treated with liraglutide for more than 3 months were asked to return for follow-up visits one and two years after the end of the open label period (after trial drug cessation at week 52). After the run-in period, subjects were randomized to receive placebo (in combination with metformin with or without basal insulin, on a background of diet and exercise) for a 26 weeks double blind treatment period. The liraglutide placebo was administered once daily subcutaneously in equivalent volume as liraglutide. After 26 weeks, participants discontinued placebo and continued treatment with metformin (with or without basal insulin) during the open-label period.
Measure Participants 53 49
Geometric Mean (Geometric Coefficient of Variation) [ratio]
0.689
(106.6)
0.770
(225.1)
31. Secondary Outcome
Title Ratio to Baseline: Fasting Glucagon
Description Ratio to baseline (fasting glucagon) at week 26. All available data were used for the analysis including data collected after treatment discontinuation and initiation of rescue medication.
Time Frame Week 0, week 26

Outcome Measure Data

Analysis Population Description
Full analysis set. Number of participants analysed=participants with available data.
Arm/Group Title Liraglutide 1.8 mg Placebo
Arm/Group Description After the run-in period, subjects were randomized to receive liraglutide subcutaneous injections once daily (in combination with metformin with or without basal insulin, on a background of diet and exercise) for 52 weeks (26 weeks double blind treatment period followed by a 26-week open-label extension period). The liraglutide dosing was started at 0.6 mg/day during the first week and escalated in weekly increments of 0.6 mg over the following 2-3 weeks. Dose escalation was based on tolerability, as judged by the investigator and on the average of three fasting plasma glucose (FPG) measurements performed by the subject at home on the 3 consecutive days before the dose escalation visit being >6.1 mmol/L (110 mg/dL). Subjects were treated with doses of 0.6, 1.2 or 1.8 after dose escalation. Subjects treated with liraglutide for more than 3 months were asked to return for follow-up visits one and two years after the end of the open label period (after trial drug cessation at week 52). After the run-in period, subjects were randomized to receive placebo (in combination with metformin with or without basal insulin, on a background of diet and exercise) for a 26 weeks double blind treatment period. The liraglutide placebo was administered once daily subcutaneously in equivalent volume as liraglutide. After 26 weeks, participants discontinued placebo and continued treatment with metformin (with or without basal insulin) during the open-label period.
Measure Participants 60 57
Geometric Mean (Geometric Coefficient of Variation) [ratio]
0.98
(29.3)
1.03
(32.4)
32. Secondary Outcome
Title Ratio to Baseline: Fasting Glucagon
Description Ratio to baseline (fasting glucagon) at week 52. All available data were used for the analysis including data collected after treatment discontinuation and initiation of rescue medication.
Time Frame Week 0, week 52

Outcome Measure Data

Analysis Population Description
Full analysis set. Number of participants analysed=participants with available data.
Arm/Group Title Liraglutide 1.8 mg Placebo
Arm/Group Description After the run-in period, subjects were randomized to receive liraglutide subcutaneous injections once daily (in combination with metformin with or without basal insulin, on a background of diet and exercise) for 52 weeks (26 weeks double blind treatment period followed by a 26-week open-label extension period). The liraglutide dosing was started at 0.6 mg/day during the first week and escalated in weekly increments of 0.6 mg over the following 2-3 weeks. Dose escalation was based on tolerability, as judged by the investigator and on the average of three fasting plasma glucose (FPG) measurements performed by the subject at home on the 3 consecutive days before the dose escalation visit being >6.1 mmol/L (110 mg/dL). Subjects were treated with doses of 0.6, 1.2 or 1.8 after dose escalation. Subjects treated with liraglutide for more than 3 months were asked to return for follow-up visits one and two years after the end of the open label period (after trial drug cessation at week 52). After the run-in period, subjects were randomized to receive placebo (in combination with metformin with or without basal insulin, on a background of diet and exercise) for a 26 weeks double blind treatment period. The liraglutide placebo was administered once daily subcutaneously in equivalent volume as liraglutide. After 26 weeks, participants discontinued placebo and continued treatment with metformin (with or without basal insulin) during the open-label period.
Measure Participants 54 52
Geometric Mean (Geometric Coefficient of Variation) [ratio]
1.01
(35.0)
1.05
(32.7)
33. Secondary Outcome
Title Ratio to Baseline: Fasting C-peptide
Description Ratio to baseline (fasting C-peptide) at week 26. All available data were used for the analysis including data collected after treatment discontinuation and initiation of rescue medication.
Time Frame Week 0, week 26

Outcome Measure Data

Analysis Population Description
Full analysis set. Number of participants analysed=participants with available data.
Arm/Group Title Liraglutide 1.8 mg Placebo
Arm/Group Description After the run-in period, subjects were randomized to receive liraglutide subcutaneous injections once daily (in combination with metformin with or without basal insulin, on a background of diet and exercise) for 52 weeks (26 weeks double blind treatment period followed by a 26-week open-label extension period). The liraglutide dosing was started at 0.6 mg/day during the first week and escalated in weekly increments of 0.6 mg over the following 2-3 weeks. Dose escalation was based on tolerability, as judged by the investigator and on the average of three fasting plasma glucose (FPG) measurements performed by the subject at home on the 3 consecutive days before the dose escalation visit being >6.1 mmol/L (110 mg/dL). Subjects were treated with doses of 0.6, 1.2 or 1.8 after dose escalation. Subjects treated with liraglutide for more than 3 months were asked to return for follow-up visits one and two years after the end of the open label period (after trial drug cessation at week 52). After the run-in period, subjects were randomized to receive placebo (in combination with metformin with or without basal insulin, on a background of diet and exercise) for a 26 weeks double blind treatment period. The liraglutide placebo was administered once daily subcutaneously in equivalent volume as liraglutide. After 26 weeks, participants discontinued placebo and continued treatment with metformin (with or without basal insulin) during the open-label period.
Measure Participants 59 58
Geometric Mean (Geometric Coefficient of Variation) [ratio]
0.93
(39.7)
0.84
(82.3)
34. Secondary Outcome
Title Ratio to Baseline: Fasting C-peptide
Description Ratio to baseline (fasting C-peptide) at week 52. All available data were used for the analysis including data collected after treatment discontinuation and initiation of rescue medication.
Time Frame Week 0, week 52

Outcome Measure Data

Analysis Population Description
Full analysis set. Number of participants analysed=participants with available data.
Arm/Group Title Liraglutide 1.8 mg Placebo
Arm/Group Description After the run-in period, subjects were randomized to receive liraglutide subcutaneous injections once daily (in combination with metformin with or without basal insulin, on a background of diet and exercise) for 52 weeks (26 weeks double blind treatment period followed by a 26-week open-label extension period). The liraglutide dosing was started at 0.6 mg/day during the first week and escalated in weekly increments of 0.6 mg over the following 2-3 weeks. Dose escalation was based on tolerability, as judged by the investigator and on the average of three fasting plasma glucose (FPG) measurements performed by the subject at home on the 3 consecutive days before the dose escalation visit being >6.1 mmol/L (110 mg/dL). Subjects were treated with doses of 0.6, 1.2 or 1.8 after dose escalation. Subjects treated with liraglutide for more than 3 months were asked to return for follow-up visits one and two years after the end of the open label period (after trial drug cessation at week 52). After the run-in period, subjects were randomized to receive placebo (in combination with metformin with or without basal insulin, on a background of diet and exercise) for a 26 weeks double blind treatment period. The liraglutide placebo was administered once daily subcutaneously in equivalent volume as liraglutide. After 26 weeks, participants discontinued placebo and continued treatment with metformin (with or without basal insulin) during the open-label period.
Measure Participants 54 53
Geometric Mean (Geometric Coefficient of Variation) [ratio]
0.94
(40.8)
0.83
(56.5)
35. Secondary Outcome
Title Ratio to Baseline: Homeostasis Model Assessment of Beta-cell Function (HOMA-B)
Description Ratio to baseline (HOMA-B) after 26 weeks. HOMA-B is an index of beta-cell function and was calculated from fasting insulin. All available data were used for the analysis including data collected after treatment discontinuation and initiation of rescue medication.
Time Frame Week 0, week 26

Outcome Measure Data

Analysis Population Description
Full analysis set. Number of participants analysed=participants with available data.
Arm/Group Title Liraglutide 1.8 mg Placebo
Arm/Group Description After the run-in period, subjects were randomized to receive liraglutide subcutaneous injections once daily (in combination with metformin with or without basal insulin, on a background of diet and exercise) for 52 weeks (26 weeks double blind treatment period followed by a 26-week open-label extension period). The liraglutide dosing was started at 0.6 mg/day during the first week and escalated in weekly increments of 0.6 mg over the following 2-3 weeks. Dose escalation was based on tolerability, as judged by the investigator and on the average of three fasting plasma glucose (FPG) measurements performed by the subject at home on the 3 consecutive days before the dose escalation visit being >6.1 mmol/L (110 mg/dL). Subjects were treated with doses of 0.6, 1.2 or 1.8 after dose escalation. Subjects treated with liraglutide for more than 3 months were asked to return for follow-up visits one and two years after the end of the open label period (after trial drug cessation at week 52). After the run-in period, subjects were randomized to receive placebo (in combination with metformin with or without basal insulin, on a background of diet and exercise) for a 26 weeks double blind treatment period. The liraglutide placebo was administered once daily subcutaneously in equivalent volume as liraglutide. After 26 weeks, participants discontinued placebo and continued treatment with metformin (with or without basal insulin) during the open-label period.
Measure Participants 56 51
Geometric Mean (Geometric Coefficient of Variation) [ratio]
1.24
(96.9)
1.01
(119.0)
36. Secondary Outcome
Title Ratio to Baseline: HOMA-B
Description Ratio to baseline (HOMA-B) after 52 weeks. HOMA-B is an index of beta-cell function and was calculated from fasting insulin. All available data were used for the analysis including data collected after treatment discontinuation and initiation of rescue medication.
Time Frame Week 0, week 52

Outcome Measure Data

Analysis Population Description
Full analysis set. Number of participants analysed=participants with available data.
Arm/Group Title Liraglutide 1.8 mg Placebo
Arm/Group Description After the run-in period, subjects were randomized to receive liraglutide subcutaneous injections once daily (in combination with metformin with or without basal insulin, on a background of diet and exercise) for 52 weeks (26 weeks double blind treatment period followed by a 26-week open-label extension period). The liraglutide dosing was started at 0.6 mg/day during the first week and escalated in weekly increments of 0.6 mg over the following 2-3 weeks. Dose escalation was based on tolerability, as judged by the investigator and on the average of three fasting plasma glucose (FPG) measurements performed by the subject at home on the 3 consecutive days before the dose escalation visit being >6.1 mmol/L (110 mg/dL). Subjects were treated with doses of 0.6, 1.2 or 1.8 after dose escalation. Subjects treated with liraglutide for more than 3 months were asked to return for follow-up visits one and two years after the end of the open label period (after trial drug cessation at week 52). After the run-in period, subjects were randomized to receive placebo (in combination with metformin with or without basal insulin, on a background of diet and exercise) for a 26 weeks double blind treatment period. The liraglutide placebo was administered once daily subcutaneously in equivalent volume as liraglutide. After 26 weeks, participants discontinued placebo and continued treatment with metformin (with or without basal insulin) during the open-label period.
Measure Participants 51 49
Geometric Mean (Geometric Coefficient of Variation) [ratio]
1.48
(105.0)
0.93
(166.8)
37. Secondary Outcome
Title Ratio to Baseline: Homeostasis Model Assessment as an Index of Insulin Resistance (HOMA-IR)
Description Ratio to baseline (HOMA-IR) after 26 weeks. HOMA-IR is an index of insulin resistance and was calculated from fasting insulin. All available data were used for the analysis including data collected after treatment discontinuation and initiation of rescue medication.
Time Frame Week 0, week 26

Outcome Measure Data

Analysis Population Description
Full analysis set. Number of participants analysed=participants with available data.
Arm/Group Title Liraglutide 1.8 mg Placebo
Arm/Group Description After the run-in period, subjects were randomized to receive liraglutide subcutaneous injections once daily (in combination with metformin with or without basal insulin, on a background of diet and exercise) for 52 weeks (26 weeks double blind treatment period followed by a 26-week open-label extension period). The liraglutide dosing was started at 0.6 mg/day during the first week and escalated in weekly increments of 0.6 mg over the following 2-3 weeks. Dose escalation was based on tolerability, as judged by the investigator and on the average of three fasting plasma glucose (FPG) measurements performed by the subject at home on the 3 consecutive days before the dose escalation visit being >6.1 mmol/L (110 mg/dL). Subjects were treated with doses of 0.6, 1.2 or 1.8 after dose escalation. Subjects treated with liraglutide for more than 3 months were asked to return for follow-up visits one and two years after the end of the open label period (after trial drug cessation at week 52). After the run-in period, subjects were randomized to receive placebo (in combination with metformin with or without basal insulin, on a background of diet and exercise) for a 26 weeks double blind treatment period. The liraglutide placebo was administered once daily subcutaneously in equivalent volume as liraglutide. After 26 weeks, participants discontinued placebo and continued treatment with metformin (with or without basal insulin) during the open-label period.
Measure Participants 58 54
Geometric Mean (Geometric Coefficient of Variation) [ratio]
0.73
(80.5)
0.98
(80.8)
38. Secondary Outcome
Title Ratio to Baseline: HOMA-IR
Description Ratio to baseline (HOMA-IR) after 52 weeks. HOMA-IR is an index of insulin resistance and was calculated from fasting insulin. All available data were used for the analysis including data collected after treatment discontinuation and initiation of rescue medication.
Time Frame Week 0, week 52

Outcome Measure Data

Analysis Population Description
Full analysis set. Number of participants analysed=participants with available data.
Arm/Group Title Liraglutide 1.8 mg Placebo
Arm/Group Description After the run-in period, subjects were randomized to receive liraglutide subcutaneous injections once daily (in combination with metformin with or without basal insulin, on a background of diet and exercise) for 52 weeks (26 weeks double blind treatment period followed by a 26-week open-label extension period). The liraglutide dosing was started at 0.6 mg/day during the first week and escalated in weekly increments of 0.6 mg over the following 2-3 weeks. Dose escalation was based on tolerability, as judged by the investigator and on the average of three fasting plasma glucose (FPG) measurements performed by the subject at home on the 3 consecutive days before the dose escalation visit being >6.1 mmol/L (110 mg/dL). Subjects were treated with doses of 0.6, 1.2 or 1.8 after dose escalation. Subjects treated with liraglutide for more than 3 months were asked to return for follow-up visits one and two years after the end of the open label period (after trial drug cessation at week 52). After the run-in period, subjects were randomized to receive placebo (in combination with metformin with or without basal insulin, on a background of diet and exercise) for a 26 weeks double blind treatment period. The liraglutide placebo was administered once daily subcutaneously in equivalent volume as liraglutide. After 26 weeks, participants discontinued placebo and continued treatment with metformin (with or without basal insulin) during the open-label period.
Measure Participants 53 52
Geometric Mean (Geometric Coefficient of Variation) [ratio]
0.82
(86.4)
1.08
(140.3)
39. Secondary Outcome
Title Ratio to Baseline: Total Cholesterol
Description Ratio to baseline (total cholesterol) after 26 weeks. All available data were used for the analysis including data collected after treatment discontinuation and initiation of rescue medication.
Time Frame Week 0, week 26

Outcome Measure Data

Analysis Population Description
Full analysis set. Number of participants analysed=participants with available data.
Arm/Group Title Liraglutide 1.8 mg Placebo
Arm/Group Description After the run-in period, subjects were randomized to receive liraglutide subcutaneous injections once daily (in combination with metformin with or without basal insulin, on a background of diet and exercise) for 52 weeks (26 weeks double blind treatment period followed by a 26-week open-label extension period). The liraglutide dosing was started at 0.6 mg/day during the first week and escalated in weekly increments of 0.6 mg over the following 2-3 weeks. Dose escalation was based on tolerability, as judged by the investigator and on the average of three fasting plasma glucose (FPG) measurements performed by the subject at home on the 3 consecutive days before the dose escalation visit being >6.1 mmol/L (110 mg/dL). Subjects were treated with doses of 0.6, 1.2 or 1.8 after dose escalation. Subjects treated with liraglutide for more than 3 months were asked to return for follow-up visits one and two years after the end of the open label period (after trial drug cessation at week 52). After the run-in period, subjects were randomized to receive placebo (in combination with metformin with or without basal insulin, on a background of diet and exercise) for a 26 weeks double blind treatment period. The liraglutide placebo was administered once daily subcutaneously in equivalent volume as liraglutide. After 26 weeks, participants discontinued placebo and continued treatment with metformin (with or without basal insulin) during the open-label period.
Measure Participants 60 58
Geometric Mean (Geometric Coefficient of Variation) [ratio]
0.975
(17.7)
1.008
(13.3)
40. Secondary Outcome
Title Ratio to Baseline: Total Cholesterol
Description Ratio to baseline (total cholesterol) after 52 weeks. All available data were used for the analysis including data collected after treatment discontinuation and initiation of rescue medication.
Time Frame Week 0, week 52

Outcome Measure Data

Analysis Population Description
Full analysis set. Number of participants analysed=participants with available data.
Arm/Group Title Liraglutide 1.8 mg Placebo
Arm/Group Description After the run-in period, subjects were randomized to receive liraglutide subcutaneous injections once daily (in combination with metformin with or without basal insulin, on a background of diet and exercise) for 52 weeks (26 weeks double blind treatment period followed by a 26-week open-label extension period). The liraglutide dosing was started at 0.6 mg/day during the first week and escalated in weekly increments of 0.6 mg over the following 2-3 weeks. Dose escalation was based on tolerability, as judged by the investigator and on the average of three fasting plasma glucose (FPG) measurements performed by the subject at home on the 3 consecutive days before the dose escalation visit being >6.1 mmol/L (110 mg/dL). Subjects were treated with doses of 0.6, 1.2 or 1.8 after dose escalation. Subjects treated with liraglutide for more than 3 months were asked to return for follow-up visits one and two years after the end of the open label period (after trial drug cessation at week 52). After the run-in period, subjects were randomized to receive placebo (in combination with metformin with or without basal insulin, on a background of diet and exercise) for a 26 weeks double blind treatment period. The liraglutide placebo was administered once daily subcutaneously in equivalent volume as liraglutide. After 26 weeks, participants discontinued placebo and continued treatment with metformin (with or without basal insulin) during the open-label period.
Measure Participants 56 52
Geometric Mean (Geometric Coefficient of Variation) [ratio]
1.013
(21.0)
1.026
(13.5)
41. Secondary Outcome
Title Ratio to Baseline: Low Density Lipoprotein (LDL) Cholesterol
Description Ratio to baseline (LDL cholesterol) after 26 weeks. All available data were used for the analysis including data collected after treatment discontinuation and initiation of rescue medication.
Time Frame Week 0, week 26

Outcome Measure Data

Analysis Population Description
Full analysis set. Number of participants analysed=participants with available data.
Arm/Group Title Liraglutide 1.8 mg Placebo
Arm/Group Description After the run-in period, subjects were randomized to receive liraglutide subcutaneous injections once daily (in combination with metformin with or without basal insulin, on a background of diet and exercise) for 52 weeks (26 weeks double blind treatment period followed by a 26-week open-label extension period). The liraglutide dosing was started at 0.6 mg/day during the first week and escalated in weekly increments of 0.6 mg over the following 2-3 weeks. Dose escalation was based on tolerability, as judged by the investigator and on the average of three fasting plasma glucose (FPG) measurements performed by the subject at home on the 3 consecutive days before the dose escalation visit being >6.1 mmol/L (110 mg/dL). Subjects were treated with doses of 0.6, 1.2 or 1.8 after dose escalation. Subjects treated with liraglutide for more than 3 months were asked to return for follow-up visits one and two years after the end of the open label period (after trial drug cessation at week 52). After the run-in period, subjects were randomized to receive placebo (in combination with metformin with or without basal insulin, on a background of diet and exercise) for a 26 weeks double blind treatment period. The liraglutide placebo was administered once daily subcutaneously in equivalent volume as liraglutide. After 26 weeks, participants discontinued placebo and continued treatment with metformin (with or without basal insulin) during the open-label period.
Measure Participants 58 57
Geometric Mean (Geometric Coefficient of Variation) [ratio]
0.998
(24.8)
0.993
(20.4)
42. Secondary Outcome
Title Ratio to Baseline: LDL Cholesterol
Description Ratio to baseline (LDL cholesterol) after 52 weeks. All available data were used for the analysis including data collected after treatment discontinuation and initiation of rescue medication.
Time Frame Week 0, week 52

Outcome Measure Data

Analysis Population Description
Full analysis set. Number of participants analysed=participants with available data.
Arm/Group Title Liraglutide 1.8 mg Placebo
Arm/Group Description After the run-in period, subjects were randomized to receive liraglutide subcutaneous injections once daily (in combination with metformin with or without basal insulin, on a background of diet and exercise) for 52 weeks (26 weeks double blind treatment period followed by a 26-week open-label extension period). The liraglutide dosing was started at 0.6 mg/day during the first week and escalated in weekly increments of 0.6 mg over the following 2-3 weeks. Dose escalation was based on tolerability, as judged by the investigator and on the average of three fasting plasma glucose (FPG) measurements performed by the subject at home on the 3 consecutive days before the dose escalation visit being >6.1 mmol/L (110 mg/dL). Subjects were treated with doses of 0.6, 1.2 or 1.8 after dose escalation. Subjects treated with liraglutide for more than 3 months were asked to return for follow-up visits one and two years after the end of the open label period (after trial drug cessation at week 52). After the run-in period, subjects were randomized to receive placebo (in combination with metformin with or without basal insulin, on a background of diet and exercise) for a 26 weeks double blind treatment period. The liraglutide placebo was administered once daily subcutaneously in equivalent volume as liraglutide. After 26 weeks, participants discontinued placebo and continued treatment with metformin (with or without basal insulin) during the open-label period.
Measure Participants 54 48
Geometric Mean (Geometric Coefficient of Variation) [ratio]
1.042
(46.3)
1.035
(21.5)
43. Secondary Outcome
Title Ratio to Baseline: Very Low-density Lipoprotein (VLDL) Cholesterol
Description Ratio to baseline (VLDL cholesterol) after 26 weeks. All available data were used for the analysis including data collected after treatment discontinuation and initiation of rescue medication.
Time Frame Week 0, week 26

Outcome Measure Data

Analysis Population Description
Full analysis set. Number of participants analysed=participants with available data.
Arm/Group Title Liraglutide 1.8 mg Placebo
Arm/Group Description After the run-in period, subjects were randomized to receive liraglutide subcutaneous injections once daily (in combination with metformin with or without basal insulin, on a background of diet and exercise) for 52 weeks (26 weeks double blind treatment period followed by a 26-week open-label extension period). The liraglutide dosing was started at 0.6 mg/day during the first week and escalated in weekly increments of 0.6 mg over the following 2-3 weeks. Dose escalation was based on tolerability, as judged by the investigator and on the average of three fasting plasma glucose (FPG) measurements performed by the subject at home on the 3 consecutive days before the dose escalation visit being >6.1 mmol/L (110 mg/dL). Subjects were treated with doses of 0.6, 1.2 or 1.8 after dose escalation. Subjects treated with liraglutide for more than 3 months were asked to return for follow-up visits one and two years after the end of the open label period (after trial drug cessation at week 52). After the run-in period, subjects were randomized to receive placebo (in combination with metformin with or without basal insulin, on a background of diet and exercise) for a 26 weeks double blind treatment period. The liraglutide placebo was administered once daily subcutaneously in equivalent volume as liraglutide. After 26 weeks, participants discontinued placebo and continued treatment with metformin (with or without basal insulin) during the open-label period.
Measure Participants 59 58
Geometric Mean (Geometric Coefficient of Variation) [ratio]
0.890
(51.6)
1.035
(35.3)
44. Secondary Outcome
Title Ratio to Baseline: VLDL Cholesterol
Description Ratio to baseline (VLDL cholesterol) after 52 weeks. All available data were used for the analysis including data collected after treatment discontinuation and initiation of rescue medication.
Time Frame Week 0, week 52

Outcome Measure Data

Analysis Population Description
Full analysis set. Number of participants analysed=participants with available data.
Arm/Group Title Liraglutide 1.8 mg Placebo
Arm/Group Description After the run-in period, subjects were randomized to receive liraglutide subcutaneous injections once daily (in combination with metformin with or without basal insulin, on a background of diet and exercise) for 52 weeks (26 weeks double blind treatment period followed by a 26-week open-label extension period). The liraglutide dosing was started at 0.6 mg/day during the first week and escalated in weekly increments of 0.6 mg over the following 2-3 weeks. Dose escalation was based on tolerability, as judged by the investigator and on the average of three fasting plasma glucose (FPG) measurements performed by the subject at home on the 3 consecutive days before the dose escalation visit being >6.1 mmol/L (110 mg/dL). Subjects were treated with doses of 0.6, 1.2 or 1.8 after dose escalation. Subjects treated with liraglutide for more than 3 months were asked to return for follow-up visits one and two years after the end of the open label period (after trial drug cessation at week 52). After the run-in period, subjects were randomized to receive placebo (in combination with metformin with or without basal insulin, on a background of diet and exercise) for a 26 weeks double blind treatment period. The liraglutide placebo was administered once daily subcutaneously in equivalent volume as liraglutide. After 26 weeks, participants discontinued placebo and continued treatment with metformin (with or without basal insulin) during the open-label period.
Measure Participants 56 51
Geometric Mean (Geometric Coefficient of Variation) [ratio]
0.983
(48.4)
1.003
(45.5)
45. Secondary Outcome
Title Ratio to Baseline: High-density Lipoprotein (HDL) Cholesterol
Description Ratio to baseline (HDL cholesterol) after 26 weeks. All available data were used for the analysis including data collected after treatment discontinuation and initiation of rescue medication.
Time Frame Week 0, week 26

Outcome Measure Data

Analysis Population Description
Full analysis set. Number of participants analysed=participants with available data.
Arm/Group Title Liraglutide 1.8 mg Placebo
Arm/Group Description After the run-in period, subjects were randomized to receive liraglutide subcutaneous injections once daily (in combination with metformin with or without basal insulin, on a background of diet and exercise) for 52 weeks (26 weeks double blind treatment period followed by a 26-week open-label extension period). The liraglutide dosing was started at 0.6 mg/day during the first week and escalated in weekly increments of 0.6 mg over the following 2-3 weeks. Dose escalation was based on tolerability, as judged by the investigator and on the average of three fasting plasma glucose (FPG) measurements performed by the subject at home on the 3 consecutive days before the dose escalation visit being >6.1 mmol/L (110 mg/dL). Subjects were treated with doses of 0.6, 1.2 or 1.8 after dose escalation. Subjects treated with liraglutide for more than 3 months were asked to return for follow-up visits one and two years after the end of the open label period (after trial drug cessation at week 52). After the run-in period, subjects were randomized to receive placebo (in combination with metformin with or without basal insulin, on a background of diet and exercise) for a 26 weeks double blind treatment period. The liraglutide placebo was administered once daily subcutaneously in equivalent volume as liraglutide. After 26 weeks, participants discontinued placebo and continued treatment with metformin (with or without basal insulin) during the open-label period.
Measure Participants 59 58
Geometric Mean (Geometric Coefficient of Variation) [ratio]
0.997
(18.7)
0.981
(16.3)
46. Secondary Outcome
Title Ratio to Baseline: HDL Cholesterol
Description Ratio to baseline (HDL cholesterol) after 52 weeks. All available data were used for the analysis including data collected after treatment discontinuation and initiation of rescue medication.
Time Frame Week 0, week 52

Outcome Measure Data

Analysis Population Description
Full analysis set. Number of participants analysed=participants with available data.
Arm/Group Title Liraglutide 1.8 mg Placebo
Arm/Group Description After the run-in period, subjects were randomized to receive liraglutide subcutaneous injections once daily (in combination with metformin with or without basal insulin, on a background of diet and exercise) for 52 weeks (26 weeks double blind treatment period followed by a 26-week open-label extension period). The liraglutide dosing was started at 0.6 mg/day during the first week and escalated in weekly increments of 0.6 mg over the following 2-3 weeks. Dose escalation was based on tolerability, as judged by the investigator and on the average of three fasting plasma glucose (FPG) measurements performed by the subject at home on the 3 consecutive days before the dose escalation visit being >6.1 mmol/L (110 mg/dL). Subjects were treated with doses of 0.6, 1.2 or 1.8 after dose escalation. Subjects treated with liraglutide for more than 3 months were asked to return for follow-up visits one and two years after the end of the open label period (after trial drug cessation at week 52). After the run-in period, subjects were randomized to receive placebo (in combination with metformin with or without basal insulin, on a background of diet and exercise) for a 26 weeks double blind treatment period. The liraglutide placebo was administered once daily subcutaneously in equivalent volume as liraglutide. After 26 weeks, participants discontinued placebo and continued treatment with metformin (with or without basal insulin) during the open-label period.
Measure Participants 56 51
Geometric Mean (Geometric Coefficient of Variation) [ratio]
1.028
(16.0)
1.000
(18.8)
47. Secondary Outcome
Title Ratio to Baseline: Triglycerides
Description Ratio to baseline (triglycerides) after 26 weeks. All available data were used for the analysis including data collected after treatment discontinuation and initiation of rescue medication.
Time Frame Week 0, week 26

Outcome Measure Data

Analysis Population Description
Full analysis set. Number of participants analysed=participants with available data.
Arm/Group Title Liraglutide 1.8 mg Placebo
Arm/Group Description After the run-in period, subjects were randomized to receive liraglutide subcutaneous injections once daily (in combination with metformin with or without basal insulin, on a background of diet and exercise) for 52 weeks (26 weeks double blind treatment period followed by a 26-week open-label extension period). The liraglutide dosing was started at 0.6 mg/day during the first week and escalated in weekly increments of 0.6 mg over the following 2-3 weeks. Dose escalation was based on tolerability, as judged by the investigator and on the average of three fasting plasma glucose (FPG) measurements performed by the subject at home on the 3 consecutive days before the dose escalation visit being >6.1 mmol/L (110 mg/dL). Subjects were treated with doses of 0.6, 1.2 or 1.8 after dose escalation. Subjects treated with liraglutide for more than 3 months were asked to return for follow-up visits one and two years after the end of the open label period (after trial drug cessation at week 52). After the run-in period, subjects were randomized to receive placebo (in combination with metformin with or without basal insulin, on a background of diet and exercise) for a 26 weeks double blind treatment period. The liraglutide placebo was administered once daily subcutaneously in equivalent volume as liraglutide. After 26 weeks, participants discontinued placebo and continued treatment with metformin (with or without basal insulin) during the open-label period.
Measure Participants 60 58
Geometric Mean (Geometric Coefficient of Variation) [ratio]
0.894
(50.6)
1.038
(36.0)
48. Secondary Outcome
Title Ratio to Baseline: Triglycerides
Description Ratio to baseline (triglycerides) after 52 weeks. All available data were used for the analysis including data collected after treatment discontinuation and initiation of rescue medication.
Time Frame Week 0, week 52

Outcome Measure Data

Analysis Population Description
Full analysis set. Number of participants analysed=participants with available data.
Arm/Group Title Liraglutide 1.8 mg Placebo
Arm/Group Description After the run-in period, subjects were randomized to receive liraglutide subcutaneous injections once daily (in combination with metformin with or without basal insulin, on a background of diet and exercise) for 52 weeks (26 weeks double blind treatment period followed by a 26-week open-label extension period). The liraglutide dosing was started at 0.6 mg/day during the first week and escalated in weekly increments of 0.6 mg over the following 2-3 weeks. Dose escalation was based on tolerability, as judged by the investigator and on the average of three fasting plasma glucose (FPG) measurements performed by the subject at home on the 3 consecutive days before the dose escalation visit being >6.1 mmol/L (110 mg/dL). Subjects were treated with doses of 0.6, 1.2 or 1.8 after dose escalation. Subjects treated with liraglutide for more than 3 months were asked to return for follow-up visits one and two years after the end of the open label period (after trial drug cessation at week 52). After the run-in period, subjects were randomized to receive placebo (in combination with metformin with or without basal insulin, on a background of diet and exercise) for a 26 weeks double blind treatment period. The liraglutide placebo was administered once daily subcutaneously in equivalent volume as liraglutide. After 26 weeks, participants discontinued placebo and continued treatment with metformin (with or without basal insulin) during the open-label period.
Measure Participants 56 53
Geometric Mean (Geometric Coefficient of Variation) [ratio]
0.964
(50.5)
1.036
(48.4)
49. Secondary Outcome
Title Ratio to Baseline: Free Fatty Acids
Description Ratio to baseline (free fatty acids) after 26 weeks. All available data were used for the analysis including data collected after treatment discontinuation and initiation of rescue medication.
Time Frame Week 0, week 26

Outcome Measure Data

Analysis Population Description
Full analysis set. Number of participants analysed=participants with available data.
Arm/Group Title Liraglutide 1.8 mg Placebo
Arm/Group Description After the run-in period, subjects were randomized to receive liraglutide subcutaneous injections once daily (in combination with metformin with or without basal insulin, on a background of diet and exercise) for 52 weeks (26 weeks double blind treatment period followed by a 26-week open-label extension period). The liraglutide dosing was started at 0.6 mg/day during the first week and escalated in weekly increments of 0.6 mg over the following 2-3 weeks. Dose escalation was based on tolerability, as judged by the investigator and on the average of three fasting plasma glucose (FPG) measurements performed by the subject at home on the 3 consecutive days before the dose escalation visit being >6.1 mmol/L (110 mg/dL). Subjects were treated with doses of 0.6, 1.2 or 1.8 after dose escalation. Subjects treated with liraglutide for more than 3 months were asked to return for follow-up visits one and two years after the end of the open label period (after trial drug cessation at week 52). After the run-in period, subjects were randomized to receive placebo (in combination with metformin with or without basal insulin, on a background of diet and exercise) for a 26 weeks double blind treatment period. The liraglutide placebo was administered once daily subcutaneously in equivalent volume as liraglutide. After 26 weeks, participants discontinued placebo and continued treatment with metformin (with or without basal insulin) during the open-label period.
Measure Participants 59 58
Geometric Mean (Geometric Coefficient of Variation) [ratio]
1.023
(67.4)
0.985
(47.5)
50. Secondary Outcome
Title Ratio to Baseline: Free Fatty Acids
Description Ratio to baseline (free fatty acids) after 52 weeks. All available data were used for the analysis including data collected after treatment discontinuation and initiation of rescue medication.
Time Frame Week 0, week 52

Outcome Measure Data

Analysis Population Description
Full analysis set. Number of participants analysed=participants with available data.
Arm/Group Title Liraglutide 1.8 mg Placebo
Arm/Group Description After the run-in period, subjects were randomized to receive liraglutide subcutaneous injections once daily (in combination with metformin with or without basal insulin, on a background of diet and exercise) for 52 weeks (26 weeks double blind treatment period followed by a 26-week open-label extension period). The liraglutide dosing was started at 0.6 mg/day during the first week and escalated in weekly increments of 0.6 mg over the following 2-3 weeks. Dose escalation was based on tolerability, as judged by the investigator and on the average of three fasting plasma glucose (FPG) measurements performed by the subject at home on the 3 consecutive days before the dose escalation visit being >6.1 mmol/L (110 mg/dL). Subjects were treated with doses of 0.6, 1.2 or 1.8 after dose escalation. Subjects treated with liraglutide for more than 3 months were asked to return for follow-up visits one and two years after the end of the open label period (after trial drug cessation at week 52). After the run-in period, subjects were randomized to receive placebo (in combination with metformin with or without basal insulin, on a background of diet and exercise) for a 26 weeks double blind treatment period. The liraglutide placebo was administered once daily subcutaneously in equivalent volume as liraglutide. After 26 weeks, participants discontinued placebo and continued treatment with metformin (with or without basal insulin) during the open-label period.
Measure Participants 54 51
Geometric Mean (Geometric Coefficient of Variation) [ratio]
0.928
(58.2)
0.868
(54.8)
51. Secondary Outcome
Title Change From Baseline in Pulse
Description Change from baseline in pulse 26 weeks. All available data were used for the analysis including data collected after treatment discontinuation and initiation of rescue medication.
Time Frame Week 0, week 26

Outcome Measure Data

Analysis Population Description
Safety analysis set - included all subjects receiving at least one dose of liraglutide/placebo (134 subjects). Number of participants analysed=participants with available data.
Arm/Group Title Liraglutide 1.8 mg Placebo
Arm/Group Description After the run-in period, subjects were randomized to receive liraglutide subcutaneous injections once daily (in combination with metformin with or without basal insulin, on a background of diet and exercise) for 52 weeks (26 weeks double blind treatment period followed by a 26-week open-label extension period). The liraglutide dosing was started at 0.6 mg/day during the first week and escalated in weekly increments of 0.6 mg over the following 2-3 weeks. Dose escalation was based on tolerability, as judged by the investigator and on the average of three fasting plasma glucose (FPG) measurements performed by the subject at home on the 3 consecutive days before the dose escalation visit being >6.1 mmol/L (110 mg/dL). Subjects were treated with doses of 0.6, 1.2 or 1.8 after dose escalation. Subjects treated with liraglutide for more than 3 months were asked to return for follow-up visits one and two years after the end of the open label period (after trial drug cessation at week 52). After the run-in period, subjects were randomized to receive placebo (in combination with metformin with or without basal insulin, on a background of diet and exercise) for a 26 weeks double blind treatment period. The liraglutide placebo was administered once daily subcutaneously in equivalent volume as liraglutide. After 26 weeks, participants discontinued placebo and continued treatment with metformin (with or without basal insulin) during the open-label period.
Measure Participants 60 58
Mean (Standard Deviation) [beats/minute]
1.40
(10.89)
0.33
(7.69)
52. Secondary Outcome
Title Change From Baseline in Pulse
Description Change from baseline in pulse 52 weeks. All available data were used for the analysis including data collected after treatment discontinuation and initiation of rescue medication.
Time Frame Week 0, week 52

Outcome Measure Data

Analysis Population Description
Safety analysis set. Number of participants analysed=participants with available data.
Arm/Group Title Liraglutide 1.8 mg Placebo
Arm/Group Description After the run-in period, subjects were randomized to receive liraglutide subcutaneous injections once daily (in combination with metformin with or without basal insulin, on a background of diet and exercise) for 52 weeks (26 weeks double blind treatment period followed by a 26-week open-label extension period). The liraglutide dosing was started at 0.6 mg/day during the first week and escalated in weekly increments of 0.6 mg over the following 2-3 weeks. Dose escalation was based on tolerability, as judged by the investigator and on the average of three fasting plasma glucose (FPG) measurements performed by the subject at home on the 3 consecutive days before the dose escalation visit being >6.1 mmol/L (110 mg/dL). Subjects were treated with doses of 0.6, 1.2 or 1.8 after dose escalation. Subjects treated with liraglutide for more than 3 months were asked to return for follow-up visits one and two years after the end of the open label period (after trial drug cessation at week 52). After the run-in period, subjects were randomized to receive placebo (in combination with metformin with or without basal insulin, on a background of diet and exercise) for a 26 weeks double blind treatment period. The liraglutide placebo was administered once daily subcutaneously in equivalent volume as liraglutide. After 26 weeks, participants discontinued placebo and continued treatment with metformin (with or without basal insulin) during the open-label period.
Measure Participants 56 53
Mean (Standard Deviation) [beats/minute]
-0.05
(10.39)
-0.28
(7.88)
53. Secondary Outcome
Title Change From Baseline in Height SDS
Description Change in height SDS from baseline to week 26. Height SDS was calculated using the following formula: Z=[(value /M)^L - 1] / S*L; where L, M and S are median (M), skewness (L) and variation coefficient (S) of children/adolescents' height provided for each sex and age. For each subject, a standard deviation score Z (SDS) was calculated based on age and sex referring to the values L, M and S. The method is described in the WHO Multicentre Growth Reference, which also contains the values for L, M and S by age and sex. For Z (SDS) scores below -3 and above 3, the score was adjusted as described in the WHO instruction. All available data were used for the analysis including data collected after treatment discontinuation and initiation of rescue medication.
Time Frame Week 0, week 26

Outcome Measure Data

Analysis Population Description
Safety analysis set. Number of participants analysed=participants with available data.
Arm/Group Title Liraglutide 1.8 mg Placebo
Arm/Group Description After the run-in period, subjects were randomized to receive liraglutide subcutaneous injections once daily (in combination with metformin with or without basal insulin, on a background of diet and exercise) for 52 weeks (26 weeks double blind treatment period followed by a 26-week open-label extension period). The liraglutide dosing was started at 0.6 mg/day during the first week and escalated in weekly increments of 0.6 mg over the following 2-3 weeks. Dose escalation was based on tolerability, as judged by the investigator and on the average of three fasting plasma glucose (FPG) measurements performed by the subject at home on the 3 consecutive days before the dose escalation visit being >6.1 mmol/L (110 mg/dL). Subjects were treated with doses of 0.6, 1.2 or 1.8 after dose escalation. Subjects treated with liraglutide for more than 3 months were asked to return for follow-up visits one and two years after the end of the open label period (after trial drug cessation at week 52). After the run-in period, subjects were randomized to receive placebo (in combination with metformin with or without basal insulin, on a background of diet and exercise) for a 26 weeks double blind treatment period. The liraglutide placebo was administered once daily subcutaneously in equivalent volume as liraglutide. After 26 weeks, participants discontinued placebo and continued treatment with metformin (with or without basal insulin) during the open-label period.
Measure Participants 60 58
Mean (Standard Deviation) [SDS score]
-0.100
(0.133)
-0.042
(0.210)
54. Secondary Outcome
Title Change From Baseline in Height SDS
Description Change in height SDS from baseline to week 52. Height SDS was calculated using the following formula: Z=[(value /M)^L - 1] / S*L; where L, M and S are median (M), skewness (L) and variation coefficient (S) of children/adolescents' height provided for each sex and age. For each subject, a standard deviation score Z (SDS) was calculated based on age and sex referring to the values L, M and S. The method is described in the WHO Multicentre Growth Reference, which also contains the values for L, M and S by age and sex. For Z (SDS) scores below -3 and above 3, the score was adjusted as described in the WHO instruction. All available data were used for the analysis including data collected after treatment discontinuation and initiation of rescue medication.
Time Frame Week 0, week 52

Outcome Measure Data

Analysis Population Description
Safety analysis set. Number of participants analysed=participants with available data.
Arm/Group Title Liraglutide 1.8 mg Placebo
Arm/Group Description After the run-in period, subjects were randomized to receive liraglutide subcutaneous injections once daily (in combination with metformin with or without basal insulin, on a background of diet and exercise) for 52 weeks (26 weeks double blind treatment period followed by a 26-week open-label extension period). The liraglutide dosing was started at 0.6 mg/day during the first week and escalated in weekly increments of 0.6 mg over the following 2-3 weeks. Dose escalation was based on tolerability, as judged by the investigator and on the average of three fasting plasma glucose (FPG) measurements performed by the subject at home on the 3 consecutive days before the dose escalation visit being >6.1 mmol/L (110 mg/dL). Subjects were treated with doses of 0.6, 1.2 or 1.8 after dose escalation. Subjects treated with liraglutide for more than 3 months were asked to return for follow-up visits one and two years after the end of the open label period (after trial drug cessation at week 52). After the run-in period, subjects were randomized to receive placebo (in combination with metformin with or without basal insulin, on a background of diet and exercise) for a 26 weeks double blind treatment period. The liraglutide placebo was administered once daily subcutaneously in equivalent volume as liraglutide. After 26 weeks, participants discontinued placebo and continued treatment with metformin (with or without basal insulin) during the open-label period.
Measure Participants 56 53
Mean (Standard Deviation) [SDS score]
-0.192
(0.223)
-0.134
(0.293)
55. Secondary Outcome
Title Change in Bone Age Assessment (X-ray of Left Hand and Wrist)
Description Change in bone age from baseline to week 52. If the baseline (week 0) bone age assessment indicated that all epiphyses were fused, then the assessment was not repeated at week 52.
Time Frame Week 0, week 52

Outcome Measure Data

Analysis Population Description
Safety analysis set. Number of participants analysed=participants with available data.
Arm/Group Title Liraglutide 1.8 mg Placebo
Arm/Group Description After the run-in period, subjects were randomized to receive liraglutide subcutaneous injections once daily (in combination with metformin with or without basal insulin, on a background of diet and exercise) for 52 weeks (26 weeks double blind treatment period followed by a 26-week open-label extension period). The liraglutide dosing was started at 0.6 mg/day during the first week and escalated in weekly increments of 0.6 mg over the following 2-3 weeks. Dose escalation was based on tolerability, as judged by the investigator and on the average of three fasting plasma glucose (FPG) measurements performed by the subject at home on the 3 consecutive days before the dose escalation visit being >6.1 mmol/L (110 mg/dL). Subjects were treated with doses of 0.6, 1.2 or 1.8 after dose escalation. Subjects treated with liraglutide for more than 3 months were asked to return for follow-up visits one and two years after the end of the open label period (after trial drug cessation at week 52). After the run-in period, subjects were randomized to receive placebo (in combination with metformin with or without basal insulin, on a background of diet and exercise) for a 26 weeks double blind treatment period. The liraglutide placebo was administered once daily subcutaneously in equivalent volume as liraglutide. After 26 weeks, participants discontinued placebo and continued treatment with metformin (with or without basal insulin) during the open-label period.
Measure Participants 31 26
Mean (Standard Deviation) [years]
1.197
(0.899)
1.088
(0.889)
56. Secondary Outcome
Title Pubertal Assessment/Progression (Tanner Staging)
Description Pubertal development was assessed in 3 areas (breast, penis and pubic hair development) by the Tanner staging in accordance with stages I-V. The Tanner staging assessment was no longer required to be performed once a subject reached the Tanner stage V, as judged by the investigator. Reported results are number of participants at different Tanner stages at week 0, week 26 and week 52.
Time Frame Week 0, week 26, week 52

Outcome Measure Data

Analysis Population Description
Safety analysis set. Number of participants analysed=participants with available data
Arm/Group Title Liraglutide 1.8 mg Placebo
Arm/Group Description After the run-in period, subjects were randomized to receive liraglutide subcutaneous injections once daily (in combination with metformin with or without basal insulin, on a background of diet and exercise) for 52 weeks (26 weeks double blind treatment period followed by a 26-week open-label extension period). The liraglutide dosing was started at 0.6 mg/day during the first week and escalated in weekly increments of 0.6 mg over the following 2-3 weeks. Dose escalation was based on tolerability, as judged by the investigator and on the average of three fasting plasma glucose (FPG) measurements performed by the subject at home on the 3 consecutive days before the dose escalation visit being >6.1 mmol/L (110 mg/dL). Subjects were treated with doses of 0.6, 1.2 or 1.8 after dose escalation. Subjects treated with liraglutide for more than 3 months were asked to return for follow-up visits one and two years after the end of the open label period (after trial drug cessation at week 52). After the run-in period, subjects were randomized to receive placebo (in combination with metformin with or without basal insulin, on a background of diet and exercise) for a 26 weeks double blind treatment period. The liraglutide placebo was administered once daily subcutaneously in equivalent volume as liraglutide. After 26 weeks, participants discontinued placebo and continued treatment with metformin (with or without basal insulin) during the open-label period.
Measure Participants 66 68
Stage I
1
1.5%
0
0%
Stage II
2
3%
0
0%
Stage III
4
6.1%
10
14.7%
Stage IV
8
12.1%
9
13.2%
Stage V
26
39.4%
23
33.8%
Stage I
0
0%
0
0%
Stage II
1
1.5%
0
0%
Stage III
2
3%
4
5.9%
Stage IV
5
7.6%
10
14.7%
Stage V
29
43.9%
22
32.4%
Stage I
0
0%
0
0%
Stage II
0
0%
0
0%
Stage III
1
1.5%
2
2.9%
Stage IV
5
7.6%
9
13.2%
Stage V
27
40.9%
22
32.4%
Stage I
2
3%
0
0%
Stage II
1
1.5%
3
4.4%
Stage III
2
3%
6
8.8%
Stage IV
9
13.6%
11
16.2%
Stage V
11
16.7%
6
8.8%
Stage I
2
3%
0
0%
Stage II
1
1.5%
1
1.5%
Stage III
2
3%
4
5.9%
Stage IV
7
10.6%
8
11.8%
Stage V
13
19.7%
10
14.7%
Stage I
1
1.5%
0
0%
Stage II
2
3%
0
0%
Stage III
0
0%
2
2.9%
Stage IV
7
10.6%
6
8.8%
Stage V
15
22.7%
13
19.1%
Stage I
3
4.5%
3
4.4%
Stage II
3
4.5%
0
0%
Stage III
8
12.1%
10
14.7%
Stage IV
14
21.2%
25
36.8%
Stage V
38
57.6%
29
42.6%
Stage I
3
4.5%
0
0%
Stage II
0
0%
2
2.9%
Stage III
5
7.6%
4
5.9%
Stage IV
11
16.7%
18
26.5%
Stage V
43
65.2%
34
50%
Stage I
1
1.5%
0
0%
Stage II
1
1.5%
0
0%
Stage III
4
6.1%
2
2.9%
Stage IV
8
12.1%
17
25%
Stage V
43
65.2%
34
50%
57. Secondary Outcome
Title Growth (Height Velocity)
Description Growth (i.e., height velocity) is the change in height per year and is measured in cm/year. The height velocity was calculated as the difference between current height and height at baseline (week 0) divided by the time (in days) between those measurement time points and multiplied by 365 days.
Time Frame Week 0, week 26

Outcome Measure Data

Analysis Population Description
Safety analysis set. Number of participants analysed=participants with available data.
Arm/Group Title Liraglutide 1.8 mg Placebo
Arm/Group Description After the run-in period, subjects were randomized to receive liraglutide subcutaneous injections once daily (in combination with metformin with or without basal insulin, on a background of diet and exercise) for 52 weeks (26 weeks double blind treatment period followed by a 26-week open-label extension period). The liraglutide dosing was started at 0.6 mg/day during the first week and escalated in weekly increments of 0.6 mg over the following 2-3 weeks. Dose escalation was based on tolerability, as judged by the investigator and on the average of three fasting plasma glucose (FPG) measurements performed by the subject at home on the 3 consecutive days before the dose escalation visit being >6.1 mmol/L (110 mg/dL). Subjects were treated with doses of 0.6, 1.2 or 1.8 after dose escalation. Subjects treated with liraglutide for more than 3 months were asked to return for follow-up visits one and two years after the end of the open label period (after trial drug cessation at week 52). After the run-in period, subjects were randomized to receive placebo (in combination with metformin with or without basal insulin, on a background of diet and exercise) for a 26 weeks double blind treatment period. The liraglutide placebo was administered once daily subcutaneously in equivalent volume as liraglutide. After 26 weeks, participants discontinued placebo and continued treatment with metformin (with or without basal insulin) during the open-label period.
Measure Participants 60 58
Mean (Standard Deviation) [cm/year]
1.633
(2.016)
2.486
(2.834)
58. Secondary Outcome
Title Growth (Height Velocity)
Description Growth (i.e., height velocity) is the change in height per year and is measured in cm/year. The height velocity was calculated as the difference between current height and height at baseline (week 0) divided by the time (in days) between those measurement time points and multiplied by 365 days.
Time Frame Week 0, week 52

Outcome Measure Data

Analysis Population Description
Safety analysis set. Number of participants analysed=participants with available data.
Arm/Group Title Liraglutide 1.8 mg Placebo
Arm/Group Description After the run-in period, subjects were randomized to receive liraglutide subcutaneous injections once daily (in combination with metformin with or without basal insulin, on a background of diet and exercise) for 52 weeks (26 weeks double blind treatment period followed by a 26-week open-label extension period). The liraglutide dosing was started at 0.6 mg/day during the first week and escalated in weekly increments of 0.6 mg over the following 2-3 weeks. Dose escalation was based on tolerability, as judged by the investigator and on the average of three fasting plasma glucose (FPG) measurements performed by the subject at home on the 3 consecutive days before the dose escalation visit being >6.1 mmol/L (110 mg/dL). Subjects were treated with doses of 0.6, 1.2 or 1.8 after dose escalation. Subjects treated with liraglutide for more than 3 months were asked to return for follow-up visits one and two years after the end of the open label period (after trial drug cessation at week 52). After the run-in period, subjects were randomized to receive placebo (in combination with metformin with or without basal insulin, on a background of diet and exercise) for a 26 weeks double blind treatment period. The liraglutide placebo was administered once daily subcutaneously in equivalent volume as liraglutide. After 26 weeks, participants discontinued placebo and continued treatment with metformin (with or without basal insulin) during the open-label period.
Measure Participants 56 53
Mean (Standard Deviation) [cm/year]
1.345
(1.730)
1.817
(2.043)
59. Secondary Outcome
Title Height Velocity SDS
Description Height velocity SDS scores at week 26. Height velocity is change in height per year. The height velocity was calculated as the difference between current height and height at baseline (week 0) divided by time between those measurement time points and multiplied by 365 days. Height velocity SDS was calculated using following formula: Z=[(value /M)^L - 1] / S*L; where L, M and S are median (M), skewness (L) and variation coefficient (S) of children/adolescents' height provided for each sex and age. For each subject, a standard deviation score Z (SDS) was calculated based on age and sex referring to the values L, M and S. The method is described in the WHO Multicentre Growth Reference, which also contains the values for L, M and S by age and sex. For Z (SDS) scores below -3 and above 3, the score was adjusted as described in the WHO instruction. All available data were used for the analysis including data collected after treatment discontinuation and initiation of rescue medication.
Time Frame Week 0, week 26

Outcome Measure Data

Analysis Population Description
Safety analysis set. Number of participants analysed=participants with available data.
Arm/Group Title Liraglutide 1.8 mg Placebo
Arm/Group Description After the run-in period, subjects were randomized to receive liraglutide subcutaneous injections once daily (in combination with metformin with or without basal insulin, on a background of diet and exercise) for 52 weeks (26 weeks double blind treatment period followed by a 26-week open-label extension period). The liraglutide dosing was started at 0.6 mg/day during the first week and escalated in weekly increments of 0.6 mg over the following 2-3 weeks. Dose escalation was based on tolerability, as judged by the investigator and on the average of three fasting plasma glucose (FPG) measurements performed by the subject at home on the 3 consecutive days before the dose escalation visit being >6.1 mmol/L (110 mg/dL). Subjects were treated with doses of 0.6, 1.2 or 1.8 after dose escalation. Subjects treated with liraglutide for more than 3 months were asked to return for follow-up visits one and two years after the end of the open label period (after trial drug cessation at week 52). After the run-in period, subjects were randomized to receive placebo (in combination with metformin with or without basal insulin, on a background of diet and exercise) for a 26 weeks double blind treatment period. The liraglutide placebo was administered once daily subcutaneously in equivalent volume as liraglutide. After 26 weeks, participants discontinued placebo and continued treatment with metformin (with or without basal insulin) during the open-label period.
Measure Participants 60 58
Mean (Standard Deviation) [SDS score]
-1.24
(1.695)
-0.557
(2.058)
60. Secondary Outcome
Title Height Velocity SDS
Description Height velocity SDS scores at week 52. Height velocity is change in height per year. The height velocity was calculated as the difference between current height and height at baseline (week 0) divided by time between those measurement time points and multiplied by 365 days. Height velocity SDS was calculated using following formula: Z=[(value /M)^L - 1] / S*L; where L, M and S are median (M), skewness (L) and variation coefficient (S) of children/adolescents' height provided for each sex and age. For each subject, a standard deviation score Z (SDS) was calculated based on age and sex referring to the values L, M and S. The method is described in the WHO Multicentre Growth Reference, which also contains the values for L, M and S by age and sex. For Z (SDS) scores below -3 and above 3, the score was adjusted as described in the WHO instruction. All available data were used for the analysis including data collected after treatment discontinuation and initiation of rescue medication.
Time Frame Week 0, week 52

Outcome Measure Data

Analysis Population Description
Safety analysis set. Number of participants analysed=participants with available data.
Arm/Group Title Liraglutide 1.8 mg Placebo
Arm/Group Description After the run-in period, subjects were randomized to receive liraglutide subcutaneous injections once daily (in combination with metformin with or without basal insulin, on a background of diet and exercise) for 52 weeks (26 weeks double blind treatment period followed by a 26-week open-label extension period). The liraglutide dosing was started at 0.6 mg/day during the first week and escalated in weekly increments of 0.6 mg over the following 2-3 weeks. Dose escalation was based on tolerability, as judged by the investigator and on the average of three fasting plasma glucose (FPG) measurements performed by the subject at home on the 3 consecutive days before the dose escalation visit being >6.1 mmol/L (110 mg/dL). Subjects were treated with doses of 0.6, 1.2 or 1.8 after dose escalation. Subjects treated with liraglutide for more than 3 months were asked to return for follow-up visits one and two years after the end of the open label period (after trial drug cessation at week 52). After the run-in period, subjects were randomized to receive placebo (in combination with metformin with or without basal insulin, on a background of diet and exercise) for a 26 weeks double blind treatment period. The liraglutide placebo was administered once daily subcutaneously in equivalent volume as liraglutide. After 26 weeks, participants discontinued placebo and continued treatment with metformin (with or without basal insulin) during the open-label period.
Measure Participants 52 48
Mean (Standard Deviation) [SDS score]
-0.887
(1.460)
-0.551
(1.711)
61. Secondary Outcome
Title Number of Hypoglycaemic Episodes
Description Total number of hypoglycaemic episodes according to American Diabetes Association (ADA) classification from baseline (week 0) to week 26.
Time Frame 0-26 weeks

Outcome Measure Data

Analysis Population Description
Safety analysis set
Arm/Group Title Liraglutide 1.8 mg Placebo
Arm/Group Description After the run-in period, subjects were randomized to receive liraglutide subcutaneous injections once daily (in combination with metformin with or without basal insulin, on a background of diet and exercise) for 52 weeks (26 weeks double blind treatment period followed by a 26-week open-label extension period). The liraglutide dosing was started at 0.6 mg/day during the first week and escalated in weekly increments of 0.6 mg over the following 2-3 weeks. Dose escalation was based on tolerability, as judged by the investigator and on the average of three fasting plasma glucose (FPG) measurements performed by the subject at home on the 3 consecutive days before the dose escalation visit being >6.1 mmol/L (110 mg/dL). Subjects were treated with doses of 0.6, 1.2 or 1.8 after dose escalation. Subjects treated with liraglutide for more than 3 months were asked to return for follow-up visits one and two years after the end of the open label period (after trial drug cessation at week 52). After the run-in period, subjects were randomized to receive placebo (in combination with metformin with or without basal insulin, on a background of diet and exercise) for a 26 weeks double blind treatment period. The liraglutide placebo was administered once daily subcutaneously in equivalent volume as liraglutide. After 26 weeks, participants discontinued placebo and continued treatment with metformin (with or without basal insulin) during the open-label period.
Measure Participants 66 68
Number [hypoglycaemic episodes]
92
43
62. Secondary Outcome
Title Number of Hypoglycaemic Episodes
Description Total number of hypoglycaemic episodes according to American Diabetes Association (ADA) classification from baseline (week 0) to week 52.
Time Frame 0-52 weeks

Outcome Measure Data

Analysis Population Description
Safety analysis set
Arm/Group Title Liraglutide 1.8 mg Placebo
Arm/Group Description After the run-in period, subjects were randomized to receive liraglutide subcutaneous injections once daily (in combination with metformin with or without basal insulin, on a background of diet and exercise) for 52 weeks (26 weeks double blind treatment period followed by a 26-week open-label extension period). The liraglutide dosing was started at 0.6 mg/day during the first week and escalated in weekly increments of 0.6 mg over the following 2-3 weeks. Dose escalation was based on tolerability, as judged by the investigator and on the average of three fasting plasma glucose (FPG) measurements performed by the subject at home on the 3 consecutive days before the dose escalation visit being >6.1 mmol/L (110 mg/dL). Subjects were treated with doses of 0.6, 1.2 or 1.8 after dose escalation. Subjects treated with liraglutide for more than 3 months were asked to return for follow-up visits one and two years after the end of the open label period (after trial drug cessation at week 52). After the run-in period, subjects were randomized to receive placebo (in combination with metformin with or without basal insulin, on a background of diet and exercise) for a 26 weeks double blind treatment period. The liraglutide placebo was administered once daily subcutaneously in equivalent volume as liraglutide. After 26 weeks, participants discontinued placebo and continued treatment with metformin (with or without basal insulin) during the open-label period.
Measure Participants 66 68
Number [hypoglycaemic episodes]
160
63
63. Secondary Outcome
Title Number of Adverse Events (Week 0-26)
Description Total number of adverse events during 26 weeks.
Time Frame 0-26 weeks

Outcome Measure Data

Analysis Population Description
Safety analysis set
Arm/Group Title Liraglutide 1.8 mg Placebo
Arm/Group Description After the run-in period, subjects were randomized to receive liraglutide subcutaneous injections once daily (in combination with metformin with or without basal insulin, on a background of diet and exercise) for 52 weeks (26 weeks double blind treatment period followed by a 26-week open-label extension period). The liraglutide dosing was started at 0.6 mg/day during the first week and escalated in weekly increments of 0.6 mg over the following 2-3 weeks. Dose escalation was based on tolerability, as judged by the investigator and on the average of three fasting plasma glucose (FPG) measurements performed by the subject at home on the 3 consecutive days before the dose escalation visit being >6.1 mmol/L (110 mg/dL). Subjects were treated with doses of 0.6, 1.2 or 1.8 after dose escalation. Subjects treated with liraglutide for more than 3 months were asked to return for follow-up visits one and two years after the end of the open label period (after trial drug cessation at week 52). After the run-in period, subjects were randomized to receive placebo (in combination with metformin with or without basal insulin, on a background of diet and exercise) for a 26 weeks double blind treatment period. The liraglutide placebo was administered once daily subcutaneously in equivalent volume as liraglutide. After 26 weeks, participants discontinued placebo and continued treatment with metformin (with or without basal insulin) during the open-label period.
Measure Participants 66 68
Number [events]
310
230
64. Secondary Outcome
Title Number of Adverse Events (Week 0-52)
Description Total number of adverse events during entire treatment period.
Time Frame 0-52 weeks

Outcome Measure Data

Analysis Population Description
Safety analysis set
Arm/Group Title Liraglutide 1.8 mg Placebo
Arm/Group Description After the run-in period, subjects were randomized to receive liraglutide subcutaneous injections once daily (in combination with metformin with or without basal insulin, on a background of diet and exercise) for 52 weeks (26 weeks double blind treatment period followed by a 26-week open-label extension period). The liraglutide dosing was started at 0.6 mg/day during the first week and escalated in weekly increments of 0.6 mg over the following 2-3 weeks. Dose escalation was based on tolerability, as judged by the investigator and on the average of three fasting plasma glucose (FPG) measurements performed by the subject at home on the 3 consecutive days before the dose escalation visit being >6.1 mmol/L (110 mg/dL). Subjects were treated with doses of 0.6, 1.2 or 1.8 after dose escalation. Subjects treated with liraglutide for more than 3 months were asked to return for follow-up visits one and two years after the end of the open label period (after trial drug cessation at week 52). After the run-in period, subjects were randomized to receive placebo (in combination with metformin with or without basal insulin, on a background of diet and exercise) for a 26 weeks double blind treatment period. The liraglutide placebo was administered once daily subcutaneously in equivalent volume as liraglutide. After 26 weeks, participants discontinued placebo and continued treatment with metformin (with or without basal insulin) during the open-label period.
Measure Participants 66 68
Number [events]
426
321
65. Secondary Outcome
Title Number of Serious Adverse Events (Week 0-26)
Description Total number of serious adverse events during 26 weeks.
Time Frame 0-26 weeks

Outcome Measure Data

Analysis Population Description
Safety analysis set
Arm/Group Title Liraglutide 1.8 mg Placebo
Arm/Group Description After the run-in period, subjects were randomized to receive liraglutide subcutaneous injections once daily (in combination with metformin with or without basal insulin, on a background of diet and exercise) for 52 weeks (26 weeks double blind treatment period followed by a 26-week open-label extension period). The liraglutide dosing was started at 0.6 mg/day during the first week and escalated in weekly increments of 0.6 mg over the following 2-3 weeks. Dose escalation was based on tolerability, as judged by the investigator and on the average of three fasting plasma glucose (FPG) measurements performed by the subject at home on the 3 consecutive days before the dose escalation visit being >6.1 mmol/L (110 mg/dL). Subjects were treated with doses of 0.6, 1.2 or 1.8 after dose escalation. Subjects treated with liraglutide for more than 3 months were asked to return for follow-up visits one and two years after the end of the open label period (after trial drug cessation at week 52). After the run-in period, subjects were randomized to receive placebo (in combination with metformin with or without basal insulin, on a background of diet and exercise) for a 26 weeks double blind treatment period. The liraglutide placebo was administered once daily subcutaneously in equivalent volume as liraglutide. After 26 weeks, participants discontinued placebo and continued treatment with metformin (with or without basal insulin) during the open-label period.
Measure Participants 66 68
Number [events]
7
4
66. Secondary Outcome
Title Number of Serious Adverse Events (Week 0-52)
Description Total number of serious adverse events during entire treatment period.
Time Frame 0-52 weeks

Outcome Measure Data

Analysis Population Description
Safety analysis set
Arm/Group Title Liraglutide 1.8 mg Placebo
Arm/Group Description After the run-in period, subjects were randomized to receive liraglutide subcutaneous injections once daily (in combination with metformin with or without basal insulin, on a background of diet and exercise) for 52 weeks (26 weeks double blind treatment period followed by a 26-week open-label extension period). The liraglutide dosing was started at 0.6 mg/day during the first week and escalated in weekly increments of 0.6 mg over the following 2-3 weeks. Dose escalation was based on tolerability, as judged by the investigator and on the average of three fasting plasma glucose (FPG) measurements performed by the subject at home on the 3 consecutive days before the dose escalation visit being >6.1 mmol/L (110 mg/dL). Subjects were treated with doses of 0.6, 1.2 or 1.8 after dose escalation. Subjects treated with liraglutide for more than 3 months were asked to return for follow-up visits one and two years after the end of the open label period (after trial drug cessation at week 52). After the run-in period, subjects were randomized to receive placebo (in combination with metformin with or without basal insulin, on a background of diet and exercise) for a 26 weeks double blind treatment period. The liraglutide placebo was administered once daily subcutaneously in equivalent volume as liraglutide. After 26 weeks, participants discontinued placebo and continued treatment with metformin (with or without basal insulin) during the open-label period.
Measure Participants 66 68
Number [events]
10
5
67. Secondary Outcome
Title Number of Adverse Events (Week 53-104)
Description This outcome is applicable only for the Liraglutide 1.8 mg treatment arm. Number of adverse events reported during follow-up 1 (week 53 to 104).
Time Frame Week 53-104

Outcome Measure Data

Analysis Population Description
Safety analysis set- Subjects who received liraglutide for more than 3 months during the treatment period (week 0-52) and provided safety follow-up data anytime during week 53-104.
Arm/Group Title Liraglutide 1.8 mg: Follow-up 1
Arm/Group Description Subjects who received liraglutide for more than 3 months during the treatment period (week 0-52), were followed-up at week 104.
Measure Participants 52
Number [events]
30
68. Secondary Outcome
Title Number of Serious Adverse Events (Week 53-104)
Description This outcome is applicable only for the Liraglutide 1.8 mg treatment arm. Number of serious adverse events reported during follow up 1 (week 53 to 104).
Time Frame Weeks 53-104

Outcome Measure Data

Analysis Population Description
Safety analysis set- Subjects who received liraglutide for more than 3 months during the treatment period (week 0-52) and provided safety follow-up data anytime during week 53-104.
Arm/Group Title Liraglutide 1.8 mg: Follow-up 1
Arm/Group Description Subjects who received liraglutide for more than 3 months during the treatment period (week 0-52), were followed-up at week 104.
Measure Participants 52
Number [events]
7
69. Secondary Outcome
Title Growth (Height Velocity)- Week 104
Description Growth (i.e., height velocity) is the change in height per year and is measured in cm/year. The height velocity was calculated as the difference between current height and height at baseline (week 0) divided by the time (in days) between those measurement time points and multiplied by 365 days. This outcome is applicable only for the Liraglutide 1.8 mg treatment arm.
Time Frame Week 0, week 104

Outcome Measure Data

Analysis Population Description
Safety analysis set- Subjects who received liraglutide for more than 3 months during the treatment period (week 0-52) and provided safety follow-up data anytime during week 53-104. Overall number of participants analyzed= subjects with available data.
Arm/Group Title Liraglutide 1.8 mg: Follow-up 1
Arm/Group Description Subjects who received liraglutide for more than 3 months during the treatment period (week 0-52), were followed-up at week 104.
Measure Participants 50
Mean (Standard Deviation) [cm/year]
1.149
(1.776)
70. Secondary Outcome
Title Height Velocity SDS- Week 104
Description The height velocity was calculated as the difference between current height and height at baseline (week 0) divided by time between those measurement time points and multiplied by 365 days. Height velocity SDS was calculated using following formula: Z=[(value /M)^L - 1] / S*L; where L, M and S are median (M), skewness (L) and variation coefficient (S) of children/adolescents' height provided for each sex and age. For each subject, a standard deviation score Z (SDS) was calculated based on age and sex referring to the values L, M and S. The method is described in the WHO Multicentre Growth Reference, which also contains the values for L, M and S by age and sex. For Z (SDS) scores below -3 and above 3, the score was adjusted as described in the WHO instruction. This outcome is applicable only for the Liraglutide 1.8 mg treatment arm.
Time Frame Week 0, week 104

Outcome Measure Data

Analysis Population Description
Safety analysis set- Subjects who received liraglutide for more than 3 months during the treatment period (week 0-52) and provided safety follow-up data anytime during week 53-104. Overall number of participants analyzed= subjects with available data.
Arm/Group Title Liraglutide 1.8 mg: Follow-up 1
Arm/Group Description Subjects who received liraglutide for more than 3 months during the treatment period (week 0-52), were followed-up at week 104.
Measure Participants 41
Mean (Standard Deviation) [SDS score]
-0.523
(1.466)
71. Secondary Outcome
Title Change From Week 52 in Height SDS- Week 104
Description Change in height SDS from week 52 to week 104. Height SDS was calculated using the following formula: Z=[(value /M)^L - 1] / S*L; where L, M and S are median (M), skewness (L) and variation coefficient (S) of children/adolescents' height provided for each sex and age. For each subject, a standard deviation score Z (SDS) was calculated based on age and sex referring to the values L, M and S. The method is described in the WHO Multicentre Growth Reference, which also contains the values for L, M and S by age and sex. For Z (SDS) scores below -3 and above 3, the score was adjusted as described in the WHO instruction. All available data were used for the analysis including data collected after treatment discontinuation and initiation of rescue medication. This outcome is applicable only for the Liraglutide 1.8 mg treatment arm.
Time Frame Week 52, week 104

Outcome Measure Data

Analysis Population Description
Safety analysis set- Subjects who received liraglutide for more than 3 months during the treatment period (week 0-52) and provided safety follow-up data anytime during week 53-104. Overall number of participants analyzed= subjects with available data.
Arm/Group Title Liraglutide 1.8 mg: Follow-up 1
Arm/Group Description Subjects who received liraglutide for more than 3 months during the treatment period (week 0-52), were followed-up at week 104.
Measure Participants 49
Mean (Standard Deviation) [SDS score]
-0.133
(0.338)
72. Secondary Outcome
Title Change in Pubertal Assessment/Progression (Tanner Staging)- Week 104
Description Pubertal development was assessed in 3 areas (breast, penis and pubic hair development) by the Tanner staging in accordance with stages I-V, where stage I represents "pre-adoloscent development" and stage V represents "pubertal development equivalent to that of an adult". The Tanner staging assessment was no longer required to be performed once a subject reached the Tanner stage V, as judged by the investigator. Reported results are number of subjects at different Tanner stages at week 52 and week 104. This outcome is applicable only for the Liraglutide 1.8 mg treatment arm.
Time Frame Week 52, week 104

Outcome Measure Data

Analysis Population Description
Safety analysis set- Subjects who received liraglutide for more than 3 months during the treatment period (week 0-52) and provided safety follow-up data anytime during week 53-104. Number analyzed= subjects with available data.
Arm/Group Title Liraglutide 1.8 mg: Follow-up 1
Arm/Group Description Subjects who received liraglutide for more than 3 months during the treatment period (week 0-52), were followed-up at week 104.
Measure Participants 52
Stage I
0
0%
Stage II
0
0%
Stage III
1
1.5%
Stage IV
5
7.6%
Stage V
21
31.8%
Stage I
0
0%
Stage II
0
0%
Stage III
0
0%
Stage IV
5
7.6%
Stage V
11
16.7%
Stage I
1
1.5%
Stage II
2
3%
Stage III
0
0%
Stage IV
7
10.6%
Stage V
14
21.2%
Stage I
0
0%
Stage II
1
1.5%
Stage III
0
0%
Stage IV
5
7.6%
Stage V
8
12.1%
Stage I
0
0%
Stage II
0
0%
Stage III
2
3%
Stage IV
2
3%
Stage V
22
33.3%
Stage I
0
0%
Stage II
0
0%
Stage III
1
1.5%
Stage IV
2
3%
Stage V
13
19.7%
Stage I
1
1.5%
Stage II
1
1.5%
Stage III
2
3%
Stage IV
6
9.1%
Stage V
14
21.2%
Stage I
0
0%
Stage II
1
1.5%
Stage III
0
0%
Stage IV
4
6.1%
Stage V
9
13.6%
73. Secondary Outcome
Title Change From Week 52 in Bone Age Assessment (X-ray of Left Hand and Wrist)- Week 104
Description Change in bone age from week 52 to week 104. This outcome is applicable only for the Liraglutide 1.8 mg treatment arm.
Time Frame Week 52, week 104

Outcome Measure Data

Analysis Population Description
Safety analysis set- Subjects who received liraglutide for more than 3 months during the treatment period (week 0-52) and provided safety follow-up data anytime during week 53-104. Overall number of participants analyzed= subjects with available data.
Arm/Group Title Liraglutide 1.8 mg: Follow-up 1
Arm/Group Description Subjects who received liraglutide for more than 3 months during the treatment period (week 0-52), were followed-up at week 104.
Measure Participants 13
Mean (Standard Deviation) [Years]
1.231
(0.992)
74. Secondary Outcome
Title Number of Adverse Events (Week 53-156)
Description This outcome measure is applicable only for the Liraglutide 1.8 mg treatment arm. Number of adverse events reported during the follow-up period (weeks 53 to 156).
Time Frame Week 53-156

Outcome Measure Data

Analysis Population Description
Safety analysis set- Subjects who received liraglutide for more than 3 months during the treatment period (week 0-52) and provided safety follow-up data anytime during weeks 53-156.
Arm/Group Title Liraglutide 1.8 mg: Follow-up 1 and 2
Arm/Group Description Subjects who received liraglutide for more than 3 months during the treatment period (week 0-52), were followed-up at weeks 104 and 156.
Measure Participants 52
Number [events]
47
75. Secondary Outcome
Title Number of Serious Adverse Events (Week 53-156)
Description This outcome measure is applicable only for the Liraglutide 1.8 mg treatment arm. Number of serious adverse events reported during the follow up period (week 53 to 156).
Time Frame Weeks 53-156

Outcome Measure Data

Analysis Population Description
Safety analysis set- Subjects who received liraglutide for more than 3 months during the treatment period (week 0-52) and provided safety follow-up data anytime during weeks 53-156.
Arm/Group Title Liraglutide 1.8 mg: Follow-up 1 and 2
Arm/Group Description Subjects who received liraglutide for more than 3 months during the treatment period (week 0-52), were followed-up at weeks 104 and 156.
Measure Participants 52
Number [events]
9
76. Secondary Outcome
Title Growth (Height Velocity)- Week 156
Description Growth (i.e., height velocity) is the change in height per year and is measured in cm/year. The height velocity was calculated as the difference between current height and height at baseline (week 0) divided by the time (in days) between those measurement time points and multiplied by 365 days. This outcome measure is applicable only for the Liraglutide 1.8 mg treatment arm.
Time Frame Week 0, week 156

Outcome Measure Data

Analysis Population Description
Safety analysis set- Subjects who received liraglutide for more than 3 months during the treatment period (week 0-52) and provided safety follow-up data anytime during week 53-156. Overall number of participants analyzed= subjects with available data at week 156.
Arm/Group Title Liraglutide 1.8 mg: Follow-up 1 and 2
Arm/Group Description Subjects who received liraglutide for more than 3 months during the treatment period (week 0-52), were followed-up at weeks 104 and 156.
Measure Participants 45
Mean (Standard Deviation) [cm/year]
1.100
(1.504)
77. Secondary Outcome
Title Height Velocity SDS- Week 156
Description The height velocity was calculated as the difference between current height and height at baseline (week 0) divided by time between those measurement time points and multiplied by 365 days. Height velocity SDS was calculated using following formula: Z=[(value /M)^L - 1] / S*L; where L, M and S are median (M), skewness (L) and variation coefficient (S) of children/adolescents' height provided for each sex and age. For each subject, a standard deviation score Z (SDS) was calculated based on age and sex referring to the values L, M and S. The method is described in the WHO Multicentre Growth Reference, which also contains the values for L, M and S by age and sex. For Z (SDS) scores below -3 and above 3, the score was adjusted as described in the WHO instruction. This outcome measure is applicable only for the Liraglutide 1.8 mg treatment arm.
Time Frame Week 0, week 156

Outcome Measure Data

Analysis Population Description
Safety analysis set- Subjects who received liraglutide for more than 3 months during the treatment period (week 0-52) and provided safety follow-up data anytime during week 53-156. Overall number of participants analyzed= subjects with available data at week 156.
Arm/Group Title Liraglutide 1.8 mg: Follow-up 1 and 2
Arm/Group Description Subjects who received liraglutide for more than 3 months during the treatment period (week 0-52), were followed-up at weeks 104 and 156.
Measure Participants 27
Mean (Standard Deviation) [SDS score]
0.142
(1.156)
78. Secondary Outcome
Title Change From Week 52 in Height SDS- Week 156
Description Change in height SDS from week 52 to week 156. Height SDS was calculated using the following formula: Z=[(value /M)^L - 1] / S*L; where L, M and S are median (M), skewness (L) and variation coefficient (S) of children/adolescents' height provided for each sex and age. For each subject, a standard deviation score Z (SDS) was calculated based on age and sex referring to the values L, M and S. The method is described in the WHO Multicentre Growth Reference, which also contains the values for L, M and S by age and sex. For Z (SDS) scores below -3 and above 3, the score was adjusted as described in the WHO instruction. All available data were used for the analysis including data collected after treatment discontinuation and initiation of rescue medication. This outcome measure is applicable only for the Liraglutide 1.8 mg treatment arm.
Time Frame Week 52, week 156

Outcome Measure Data

Analysis Population Description
Safety analysis set- Subjects who received liraglutide for more than 3 months during the treatment period (week 0-52) and provided safety follow-up data anytime during week 53-156. Overall number of participants analyzed= subjects with available data at week 156.
Arm/Group Title Liraglutide 1.8 mg: Follow-up 1 and 2
Arm/Group Description Subjects who received liraglutide for more than 3 months during the treatment period (week 0-52), were followed-up at weeks 104 and 156.
Measure Participants 36
Mean (Standard Deviation) [SDS score]
-0.224
(0.446)
79. Secondary Outcome
Title Change in Pubertal Assessment/Progression (Tanner Staging)- Week 156
Description Pubertal development was assessed in 3 areas (breast, penis and pubic hair development) by the Tanner staging in accordance with stages I-V, where stage I represents "pre-adoloscent development" and stage V represents "pubertal development equivalent to that of an adult". The Tanner staging assessment was no longer required to be performed once a subject reached the Tanner stage V, as judged by the investigator. Reported results are number of subjects at different Tanner stages at week 52 and week 156. This outcome measure is applicable only for the Liraglutide 1.8 mg treatment arm.
Time Frame Week 52, week 156

Outcome Measure Data

Analysis Population Description
Safety analysis set- Subjects who received liraglutide for more than 3 months during the treatment period (week 0-52) and provided safety follow-up data anytime during week 53-156. Number analyzed= subjects with available data.
Arm/Group Title Liraglutide 1.8 mg: Follow-up 1 and 2
Arm/Group Description Subjects who received liraglutide for more than 3 months during the treatment period (week 0-52), were followed-up at weeks 104 and 156.
Measure Participants 52
Stage I
0
0%
Stage II
0
0%
Stage III
1
1.5%
Stage IV
5
7.6%
Stage V
21
31.8%
Stage I
0
0%
Stage II
0
0%
Stage III
0
0%
Stage IV
3
4.5%
Stage V
11
16.7%
Stage I
1
1.5%
Stage II
2
3%
Stage III
0
0%
Stage IV
7
10.6%
Stage V
14
21.2%
Stage I
0
0%
Stage II
0
0%
Stage III
1
1.5%
Stage IV
3
4.5%
Stage V
9
13.6%
Stage I
0
0%
Stage II
0
0%
Stage III
2
3%
Stage IV
2
3%
Stage V
22
33.3%
Stage I
0
0%
Stage II
0
0%
Stage III
0
0%
Stage IV
2
3%
Stage V
11
16.7%
Stage I
1
1.5%
Stage II
1
1.5%
Stage III
2
3%
Stage IV
6
9.1%
Stage V
14
21.2%
Stage I
0
0%
Stage II
0
0%
Stage III
1
1.5%
Stage IV
3
4.5%
Stage V
10
15.2%
80. Secondary Outcome
Title Change From Week 52 in Bone Age Assessment (X-ray of Left Hand and Wrist)- Week 156
Description Change in bone age from week 52 to week 156. This outcome measure is applicable only for the Liraglutide 1.8 mg treatment arm.
Time Frame Week 52, week 156

Outcome Measure Data

Analysis Population Description
Safety analysis set- Subjects who received liraglutide for more than 3 months during the treatment period (week 0-52) and provided safety follow-up data anytime during week 53-156. Overall number of participants analyzed= subjects with available data at week 156.
Arm/Group Title Liraglutide 1.8 mg: Follow-up 1 and 2
Arm/Group Description Subjects who received liraglutide for more than 3 months during the treatment period (week 0-52), were followed-up at weeks 104 and 156.
Measure Participants 9
Mean (Standard Deviation) [Years]
1.778
(1.277)

Adverse Events

Time Frame Week 0 - 156. All presented AEs are TEAEs. A TEAE was defined as an event that had onset date on or after the first day of exposure to trial product and no later than 7 days after the last day of trial product administration.
Adverse Event Reporting Description Adverse events were reported per reporting group for treatment period and follow up period. Results are based on SAS which included subjects: who received at least one dose of liraglutide or placebo for "Liraglutide 1.8 mg- Treatment period" and "Placebo" and who received liraglutide for more than 3 months during treatment period (week 0-52) and provided follow-up data anytime during weeks 53-104 for "Liraglutide 1.8 mg: Follow-up 1" and weeks 105-156 for "Liraglutide 1.8 mg: Follow-up 2".
Arm/Group Title Liraglutide 1.8 mg Placebo Liraglutide 1.8 mg: Follow-up 1 Liraglutide 1.8 mg: Follow-up 2
Arm/Group Description After the run-in period, subjects were randomized to receive liraglutide subcutaneous injections once daily (in combination with metformin with or without basal insulin, on a background of diet and exercise) for 52 weeks (26 weeks double blind treatment period followed by a 26-week open-label extension period). The liraglutide dosing was started at 0.6 mg/day during the first week and escalated in weekly increments of 0.6 mg over the following 2-3 weeks. Dose escalation was based on tolerability, as judged by the investigator and on the average of three fasting plasma glucose (FPG) measurements performed by the subject at home on the 3 consecutive days before the dose escalation visit being >6.1 mmol/L (110 mg/dL). Subjects were treated with doses of 0.6, 1.2 or 1.8 after dose escalation. Subjects treated with liraglutide for more than 3 months were asked to return for follow-up visits one and two years after the end of the open label period (after trial drug cessation at week 52). After the run-in period, subjects were randomized to receive placebo (in combination with metformin with or without basal insulin, on a background of diet and exercise) for a 26 weeks double blind treatment period. The liraglutide placebo was administered once daily subcutaneously in equivalent volume as liraglutide. After 26 weeks, participants discontinued placebo and continued treatment with metformin (with or without basal insulin) during the open-label period. Subjects who received liraglutide for more than 3 months during the treatment period (week 0-52), were followed-up at week 104. Subjects who received liraglutide for more than 3 months during the treatment period (week 0-52), were followed-up at week 156.
All Cause Mortality
Liraglutide 1.8 mg Placebo Liraglutide 1.8 mg: Follow-up 1 Liraglutide 1.8 mg: Follow-up 2
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 0/66 (0%) 0/68 (0%) 0/52 (0%) 0/48 (0%)
Serious Adverse Events
Liraglutide 1.8 mg Placebo Liraglutide 1.8 mg: Follow-up 1 Liraglutide 1.8 mg: Follow-up 2
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 9/66 (13.6%) 4/68 (5.9%) 7/52 (13.5%) 2/48 (4.2%)
Ear and labyrinth disorders
Vertigo 1/66 (1.5%) 1 0/68 (0%) 0 0/52 (0%) 0 0/48 (0%) 0
Gastrointestinal disorders
Abdominal pain 1/66 (1.5%) 1 0/68 (0%) 0 0/52 (0%) 0 1/48 (2.1%) 1
Diarrhoea 1/66 (1.5%) 1 0/68 (0%) 0 0/52 (0%) 0 0/48 (0%) 0
Constipation 0/66 (0%) 0 0/68 (0%) 0 1/52 (1.9%) 1 0/48 (0%) 0
Malocclusion 0/66 (0%) 0 0/68 (0%) 0 0/52 (0%) 0 1/48 (2.1%) 1
Infections and infestations
Abscess neck 1/66 (1.5%) 1 0/68 (0%) 0 0/52 (0%) 0 0/48 (0%) 0
Appendicitis perforated 0/66 (0%) 0 1/68 (1.5%) 1 0/52 (0%) 0 0/48 (0%) 0
Pneumonia 0/66 (0%) 0 1/68 (1.5%) 1 0/52 (0%) 0 0/48 (0%) 0
Viral infection 1/66 (1.5%) 1 0/68 (0%) 0 0/52 (0%) 0 0/48 (0%) 0
Subcutaneous abscess 0/66 (0%) 0 0/68 (0%) 0 1/52 (1.9%) 1 0/48 (0%) 0
Appendicitis 0/66 (0%) 0 0/68 (0%) 0 0/52 (0%) 0 1/48 (2.1%) 1
Investigations
Glycosylated haemoglobin increased 1/66 (1.5%) 1 1/68 (1.5%) 1 0/52 (0%) 0 0/48 (0%) 0
Metabolism and nutrition disorders
Diabetes mellitus inadequate control 0/66 (0%) 0 1/68 (1.5%) 1 0/52 (0%) 0 0/48 (0%) 0
Hyperglycaemia 1/66 (1.5%) 1 1/68 (1.5%) 1 2/52 (3.8%) 2 0/48 (0%) 0
Musculoskeletal and connective tissue disorders
Scoliosis 1/66 (1.5%) 1 0/68 (0%) 0 0/52 (0%) 0 0/48 (0%) 0
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Fibroadenoma of breast 1/66 (1.5%) 1 0/68 (0%) 0 0/52 (0%) 0 0/48 (0%) 0
Nervous system disorders
Nervous system disorder 1/66 (1.5%) 1 0/68 (0%) 0 0/52 (0%) 0 0/48 (0%) 0
Psychiatric disorders
Depressive symptom 0/66 (0%) 0 0/68 (0%) 0 1/52 (1.9%) 1 0/48 (0%) 0
Surgical and medical procedures
Fasciotomy 0/66 (0%) 0 0/68 (0%) 0 1/52 (1.9%) 1 0/48 (0%) 0
Metabolic surgery 0/66 (0%) 0 0/68 (0%) 0 1/52 (1.9%) 1 0/48 (0%) 0
Other (Not Including Serious) Adverse Events
Liraglutide 1.8 mg Placebo Liraglutide 1.8 mg: Follow-up 1 Liraglutide 1.8 mg: Follow-up 2
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 45/66 (68.2%) 49/68 (72.1%) 7/52 (13.5%) 1/48 (2.1%)
Gastrointestinal disorders
Abdominal pain 11/66 (16.7%) 22 5/68 (7.4%) 6 1/52 (1.9%) 1 0/48 (0%) 0
Abdominal pain upper 2/66 (3%) 3 8/68 (11.8%) 9 0/52 (0%) 0 0/48 (0%) 0
Constipation 4/66 (6.1%) 4 1/68 (1.5%) 1 1/52 (1.9%) 1 0/48 (0%) 0
Diarrhoea 15/66 (22.7%) 21 11/68 (16.2%) 13 0/52 (0%) 0 0/48 (0%) 0
Dyspepsia 5/66 (7.6%) 6 1/68 (1.5%) 1 1/52 (1.9%) 1 0/48 (0%) 0
Nausea 19/66 (28.8%) 25 9/68 (13.2%) 12 1/52 (1.9%) 1 0/48 (0%) 0
Vomiting 17/66 (25.8%) 46 6/68 (8.8%) 8 2/52 (3.8%) 2 0/48 (0%) 0
General disorders
Pyrexia 4/66 (6.1%) 5 5/68 (7.4%) 5 0/52 (0%) 0 0/48 (0%) 0
Infections and infestations
Gastroenteritis 7/66 (10.6%) 8 2/68 (2.9%) 2 0/52 (0%) 0 0/48 (0%) 0
Influenza 4/66 (6.1%) 6 6/68 (8.8%) 9 0/52 (0%) 0 0/48 (0%) 0
Nasopharyngitis 11/66 (16.7%) 16 19/68 (27.9%) 28 2/52 (3.8%) 2 0/48 (0%) 0
Pharyngitis 4/66 (6.1%) 5 4/68 (5.9%) 6 0/52 (0%) 0 1/48 (2.1%) 1
Upper respiratory tract infection 6/66 (9.1%) 10 5/68 (7.4%) 8 0/52 (0%) 0 0/48 (0%) 0
Investigations
Alanine aminotransferase increased 0/66 (0%) 0 4/68 (5.9%) 5 0/52 (0%) 0 0/48 (0%) 0
Metabolism and nutrition disorders
Decreased appetite 4/66 (6.1%) 4 3/68 (4.4%) 3 0/52 (0%) 0 0/48 (0%) 0
Hyperglycaemia 4/66 (6.1%) 4 4/68 (5.9%) 4 1/52 (1.9%) 1 1/48 (2.1%) 1
Nervous system disorders
Dizziness 8/66 (12.1%) 10 2/68 (2.9%) 4 0/52 (0%) 0 0/48 (0%) 0
Headache 14/66 (21.2%) 27 13/68 (19.1%) 39 0/52 (0%) 0 0/48 (0%) 0
Reproductive system and breast disorders
Dysmenorrhoea 3/66 (4.5%) 10 6/68 (8.8%) 11 0/52 (0%) 0 0/48 (0%) 0
Respiratory, thoracic and mediastinal disorders
Cough 4/66 (6.1%) 7 4/68 (5.9%) 5 0/52 (0%) 0 0/48 (0%) 0
Oropharyngeal pain 4/66 (6.1%) 6 6/68 (8.8%) 10 0/52 (0%) 0 0/48 (0%) 0
Rhinorrhoea 1/66 (1.5%) 2 4/68 (5.9%) 4 0/52 (0%) 0 0/48 (0%) 0
Skin and subcutaneous tissue disorders
Rash 4/66 (6.1%) 5 1/68 (1.5%) 1 0/52 (0%) 0 0/48 (0%) 0

Limitations/Caveats

[Not Specified]

More Information

Certain Agreements

Principal Investigators are NOT employed by the organization sponsoring the study.

At the end of the trial, one or more scientific publications may be prepared collaboratively by the investigator(s) and Novo Nordisk. Novo Nordisk reserves the right to postpone publication and/or communication for up to 60 days to protect intellectual property.

Results Point of Contact

Name/Title Clinical Reporting Anchor and Disclosure (1452)
Organization Novo Nordisk A/S
Phone (+1) 866-867-7178
Email clinicaltrials@novonordisk.com
Responsible Party:
Novo Nordisk A/S
ClinicalTrials.gov Identifier:
NCT01541215
Other Study ID Numbers:
  • NN2211-3659
  • 2011-002605-29
  • P/288/2010
  • U1111-1121-8743
  • CTRI/2013/10/004082
First Posted:
Feb 29, 2012
Last Update Posted:
Jul 2, 2021
Last Verified:
Jul 1, 2021