A Study to Determine the Safety and Efficacy of Albiglutide in Subjects With Type 2 Diabetes
Study Details
Study Description
Brief Summary
The purpose of this study is to determine the safety and efficacy of albiglutide in subjects with type 2 diabetes
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
Phase 3 |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Active Comparator: metformin + glimepiride + pioglitazone + albiglutide placebo Metformin + glimepiride + pioglitazone + matching albiglutide placebo |
Drug: placebo to match albiglutide
albiglutide matching placebo weekly subcutaneous injection
Drug: metformin
metformin
Drug: glimepiride
glimepiride
Drug: pioglitazone
pioglitazone
|
Experimental: metformin + glimepiride + pioglitazone placebo + albiglutide Metformin + open-label glimepiride + pioglitazone matching placebo + albiglutide |
Biological: albiglutide
albiglutide weekly subcutaneous injection
Drug: metformin
metformin
Drug: glimepiride
glimepiride
Drug: placebo to match pioglitazone
pioglitazone matching placebo
|
Active Comparator: met + glimepiride + pioglitazone placebo + albiglutide placebo metformin + open-label glimepiride + pioglitazone placebo + albiglutide placebo |
Drug: placebo to match albiglutide
albiglutide matching placebo weekly subcutaneous injection
Drug: metformin
metformin
Drug: glimepiride
glimepiride
Drug: placebo to match pioglitazone
pioglitazone matching placebo
|
Outcome Measures
Primary Outcome Measures
- Change From Baseline (BL) in Glycosylated Hemoglobin (HbA1c) at Week 52 [Baseline and Week 52]
HbA1c is a form of hemoglobin that is measured primarily to identify the average plasma glucose concentration over a 2- to 3-month period. The BL HbA1c value is defined as the last non-missing value before the start of treatment. Change from BL was calculated as the value at Week 52 minus the value at BL. Based on analysis of covariance (ANCOVA): change = treatment + BL HbA1c + prior myocardial infarction history + age category + region. The last observation carried forward (LOCF) method was used to impute missing post-BL HbA1c values; the last non-missing post-BL on-treatment measurement was used to impute the missing measurement. HbA1c values obtained after hyperglycemic rescue were treated as missing and were replaced with pre-rescue values. Nine par. with post-BL values obtained >14 days after the last dose or after hyperglycemic rescue were included in the analysis population but were not analyzed for this endpoint.
Secondary Outcome Measures
- Change From Baseline in HbA1c at Week 104 and Week 156 [Baseline, Week 104, and Week 156]
HbA1c is a form of hemoglobin that is measured primarily to identify the average plasma glucose concentration over a 2- to 3-month period. The Baseline HbA1c value is defined as the last non-missing value before the start of treatment. Change from Baseline was calculated as the post-Baseline value minus the Baseline value. This analysis used observed HbA1c values, excluding those obtained after hyperglycemia rescue; no missing data imputation was performed.
- Change From Baseline in Fasting Plasma Glucose (FPG) at Week 52 [Baseline and Week 52]
The FPG test measures blood sugar levels after the participant has not eaten (fasted) for 12 to 14 hours. The Baseline FPG value is the last non-missing value before the start of treatment. The LOCF method was used to impute missing post-Baseline FPG values. FPG values obtained after hyperglycemia rescue were treated as missing and replaced with pre-rescue values. Change from Baseline was calculated as the post-Baseline value minus the Baseline value. Based on ANCOVA: change = treatment + Baseline FPG + Baseline HbA1c category + prior myocardial infarction history + age category + region.
- Change From Baseline in FPG at Week 104 and Week 156 [Baseline, Week 104, and Week 156]
The FPG test measures blood sugar levels after the participant has not eaten (fasted) for 12 to 14 hours. The Baseline FPG value is the last non-missing value before the start of treatment. Change from Baseline was calculated as the post-Baseline value minus the Baseline value. This analysis used observed FPG values excluding those obtained after hyperglycemia rescue; no missing data imputation was performed.
- Time to Hyperglycemia Rescue [From the start of study medication until the end of the treatment (up to Week 156)]
Participants who experienced persistent hyperglycemia (high blood glucose) could have qualified for hyperglycemia rescue. The conditions for hyperglycemia rescue were as follows: FPG >=280 milligrams/deciliter (mg/dL) between >=Week 2 and <Week 4; FPG >=250 mg/dL between >=Week 4 and <Week 12; HbA1c >=8.5% and a <=0.5% reduction from Baseline between >=Week 12 and <Week 24; HbA1c >=8.5% between >=Week 24 and <Week 48; HbA1c >=8.0% between >= Week 48 and <Week 156. Participants could have been rescued at any time on or after Week 2. Time to hyperglycemia rescue is defined as the time between the date of the first dose of study medication and the date of hyperglycemia rescue plus 1 day, or the time between the date of the first dose of study medication and the date of the last visit during the active treatment period plus 1 day for participants not requiring rescue. This time was divided by 7 to express the result in weeks.
- Number of Participants Who Achieved Clinically Meaningful HbA1c Response Levels of <6.5%, <7%, and <7.5% at Week 52 [Week 52]
The number of participants who acheieved the HbA1c treatment goal (i.e., HbA1c response levels of <6.5%, <7%, and <7.5% at Week 52) was assessed. Values were carried forward for participants who were rescued or discontinued from active treatment before Week 52.
- Number of Participants Who Achieved Clinically Meaningful HbA1c Response Levels of <6.5%, <7%, and <7.5% at Week 156 [Week 156]
The number of participants who acheieved the HbA1c treatment goal (i.e., HbA1c response levels of <6.5%, <7%, and <7.5% at Week 156) was assessed.
- Change From Baseline in Body Weight at Week 52 [Baseline and Week 52]
The Baseline value is the last non-missing value before the start of treatment. Change from Baseline was calculated as the post-Baseline weight minus the Baseline weight. The LOCF method was used to impute missing post-Baseline weight values. Weight values obtained after hyperglycemia rescue were treated as missing and replaced with pre-rescue values. Based on ANCOVA: change = treatment + Baseline weight + Baseline HbA1c category + prior myocardial infarction history + age category + region.
- Change From Baseline in Body Weight at Week 104 and Week 156 [Baseline, Week 104, and Week 156]
The Baseline value is the last non-missing value before the start of treatment. Change from Baseline was calculated as the post-Baseline weight minus the Baseline weight. This analysis used observed body weight values excluding those obtained after hyperglycemia rescue; no missing data imputation was performed.
Eligibility Criteria
Criteria
Inclusion Criteria:
-
type 2 diabetes
-
BMI 20-45kg/m2 inclusive
Exclusion Criteria:
-
females who are pregnant, lactating, or less than 6 weeks post-partum
-
current symptomatic heart failure (NYHA Class II-IV)
Contacts and Locations
Locations
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1 | GSK Investigational Site | Alabaster | Alabama | United States | 35007 |
2 | GSK Investigational Site | Birmingham | Alabama | United States | 35205 |
3 | GSK Investigational Site | Birmingham | Alabama | United States | 35235 |
4 | GSK Investigational Site | Birmingham | Alabama | United States | 35242 |
5 | GSK Investigational Site | Dothan | Alabama | United States | 36301 |
6 | GSK Investigational Site | Mobile | Alabama | United States | 36617 |
7 | GSK Investigational Site | Tuscaloosa | Alabama | United States | 35406 |
8 | GSK Investigational Site | Chandler | Arizona | United States | 85225 |
9 | GSK Investigational Site | Gilbert | Arizona | United States | 85295 |
10 | GSK Investigational Site | Green Valley | Arizona | United States | 85614 |
11 | GSK Investigational Site | Phoenix | Arizona | United States | 85023 |
12 | GSK Investigational Site | Phoenix | Arizona | United States | 85028 |
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140 | GSK Investigational Site | Lexington | Kentucky | United States | 40503 |
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158 | GSK Investigational Site | Kalamazoo | Michigan | United States | 49048 |
159 | GSK Investigational Site | St Clair Shores | Michigan | United States | 48081 |
160 | GSK Investigational Site | Minneapolis | Minnesota | United States | 55430 |
161 | GSK Investigational Site | Gulfport | Mississippi | United States | 39501 |
162 | GSK Investigational Site | Picayune | Mississippi | United States | 39466 |
163 | GSK Investigational Site | Rolling Fork | Mississippi | United States | 39159 |
164 | GSK Investigational Site | Chesterfield | Missouri | United States | 63017 |
165 | GSK Investigational Site | Jefferson City | Missouri | United States | 65109 |
166 | GSK Investigational Site | Kansas City | Missouri | United States | 64106 |
167 | GSK Investigational Site | Kansas City | Missouri | United States | |
168 | GSK Investigational Site | Springfield | Missouri | United States | 65807 |
169 | GSK Investigational Site | St. Louis | Missouri | United States | 63117 |
170 | GSK Investigational Site | St. Louis | Missouri | United States | 63141 |
171 | GSK Investigational Site | West Plains | Missouri | United States | 65775 |
172 | GSK Investigational Site | Billings | Montana | United States | 59102 |
173 | GSK Investigational Site | Butte | Montana | United States | 59701 |
174 | GSK Investigational Site | Great Falls | Montana | United States | 59405 |
175 | GSK Investigational Site | Broken Bow | Nebraska | United States | 68822 |
176 | GSK Investigational Site | Lincoln | Nebraska | United States | 68516 |
177 | GSK Investigational Site | Omaha | Nebraska | United States | 68124 |
178 | GSK Investigational Site | Omaha | Nebraska | United States | 68131 |
179 | GSK Investigational Site | Omaha | Nebraska | United States | 68134 |
180 | GSK Investigational Site | Las Vegas | Nevada | United States | 89102 |
181 | GSK Investigational Site | Las Vegas | Nevada | United States | 89104 |
182 | GSK Investigational Site | Las Vegas | Nevada | United States | 89106 |
183 | GSK Investigational Site | Las Vegas | Nevada | United States | 89128 |
184 | GSK Investigational Site | Las Vegas | Nevada | United States | 89130 |
185 | GSK Investigational Site | Berlin | New Jersey | United States | 08009 |
186 | GSK Investigational Site | Elizabeth | New Jersey | United States | 07202 |
187 | GSK Investigational Site | Haddon Heights | New Jersey | United States | 08035 |
188 | GSK Investigational Site | Hainesport | New Jersey | United States | 08036 |
189 | GSK Investigational Site | New Brunswick | New Jersey | United States | 08903 |
190 | GSK Investigational Site | Stratford | New Jersey | United States | 08084 |
191 | GSK Investigational Site | Albuquerque | New Mexico | United States | 87106 |
192 | GSK Investigational Site | New York | New York | United States | 10022 |
193 | GSK Investigational Site | New York | New York | United States | 10025 |
194 | GSK Investigational Site | North Massapequa | New York | United States | 11758 |
195 | GSK Investigational Site | Asheboro | North Carolina | United States | 27203 |
196 | GSK Investigational Site | Asheville | North Carolina | United States | 28803 |
197 | GSK Investigational Site | Burlington | North Carolina | United States | 27215 |
198 | GSK Investigational Site | Calabash | North Carolina | United States | 28467 |
199 | GSK Investigational Site | Durham | North Carolina | United States | 27710 |
200 | GSK Investigational Site | Fayetteville | North Carolina | United States | 28304 |
201 | GSK Investigational Site | Greensboro | North Carolina | United States | 27405 |
202 | GSK Investigational Site | Hickory | North Carolina | United States | 28601 |
203 | GSK Investigational Site | Huntersville | North Carolina | United States | 28078 |
204 | GSK Investigational Site | Lenoir | North Carolina | United States | 28645 |
205 | GSK Investigational Site | Mint HIll | North Carolina | United States | 28227 |
206 | GSK Investigational Site | Morehead City | North Carolina | United States | 28557 |
207 | GSK Investigational Site | Shelby | North Carolina | United States | 28150 |
208 | GSK Investigational Site | Tabor City | North Carolina | United States | 28463 |
209 | GSK Investigational Site | Akron | Ohio | United States | 44320 |
210 | GSK Investigational Site | Canal Fulton | Ohio | United States | 44614 |
211 | GSK Investigational Site | Cincinnati | Ohio | United States | 45211 |
212 | GSK Investigational Site | Cincinnati | Ohio | United States | 45219 |
213 | GSK Investigational Site | Cincinnati | Ohio | United States | 45227 |
214 | GSK Investigational Site | Cincinnati | Ohio | United States | 45245 |
215 | GSK Investigational Site | Cleveland | Ohio | United States | 44122 |
216 | GSK Investigational Site | Columbus | Ohio | United States | 43212 |
217 | GSK Investigational Site | Columbus | Ohio | United States | 43213 |
218 | GSK Investigational Site | Dayton | Ohio | United States | 45432 |
219 | GSK Investigational Site | Dayton | Ohio | United States | 45439 |
220 | GSK Investigational Site | Kettering | Ohio | United States | 45429 |
221 | GSK Investigational Site | Mason | Ohio | United States | 45040 |
222 | GSK Investigational Site | Maumee | Ohio | United States | 43537-9402 |
223 | GSK Investigational Site | Thornville | Ohio | United States | 43076 |
224 | GSK Investigational Site | Zanesville | Ohio | United States | 43701 |
225 | GSK Investigational Site | Oklahoma City | Oklahoma | United States | 73103 |
226 | GSK Investigational Site | Tulsa | Oklahoma | United States | 74104 |
227 | GSK Investigational Site | Tulsa | Oklahoma | United States | 74136 |
228 | GSK Investigational Site | Ashland | Oregon | United States | 97520 |
229 | GSK Investigational Site | Bensalem | Pennsylvania | United States | 19020 |
230 | GSK Investigational Site | Carlisle | Pennsylvania | United States | 17013 |
231 | GSK Investigational Site | Downington | Pennsylvania | United States | 19335 |
232 | GSK Investigational Site | Harrisburg | Pennsylvania | United States | 17112 |
233 | GSK Investigational Site | Landsdale | Pennsylvania | United States | 19446 |
234 | GSK Investigational Site | Melrose Park | Pennsylvania | United States | 19027 |
235 | GSK Investigational Site | Tipton | Pennsylvania | United States | 16684 |
236 | GSK Investigational Site | Uniontown | Pennsylvania | United States | 15401 |
237 | GSK Investigational Site | Cumberland | Rhode Island | United States | 02864 |
238 | GSK Investigational Site | East Providence | Rhode Island | United States | 02914 |
239 | GSK Investigational Site | Columbia | South Carolina | United States | 29201 |
240 | GSK Investigational Site | Greenville | South Carolina | United States | 29601 |
241 | GSK Investigational Site | Greenville | South Carolina | United States | 29615 |
242 | GSK Investigational Site | Greer | South Carolina | United States | 29651 |
243 | GSK Investigational Site | Manning | South Carolina | United States | 29102 |
244 | GSK Investigational Site | Murrells Inlet | South Carolina | United States | 29576 |
245 | GSK Investigational Site | North Myrtle Beach | South Carolina | United States | 29582 |
246 | GSK Investigational Site | Orangeburg | South Carolina | United States | 29115 |
247 | GSK Investigational Site | Simpsonville | South Carolina | United States | 29681 |
248 | GSK Investigational Site | Taylors | South Carolina | United States | 29687 |
249 | GSK Investigational Site | Bristol | Tennessee | United States | 37620 |
250 | GSK Investigational Site | Chattanooga | Tennessee | United States | 37421 |
251 | GSK Investigational Site | Clarksville | Tennessee | United States | 37043 |
252 | GSK Investigational Site | Columbia | Tennessee | United States | 38401 |
253 | GSK Investigational Site | Fayetteville | Tennessee | United States | 37334 |
254 | GSK Investigational Site | Germantown | Tennessee | United States | 38138 |
255 | GSK Investigational Site | Johnson City | Tennessee | United States | 37604 |
256 | GSK Investigational Site | McKenzie | Tennessee | United States | 38201 |
257 | GSK Investigational Site | Memphis | Tennessee | United States | 38125 |
258 | GSK Investigational Site | Nashville | Tennessee | United States | 37203 |
259 | GSK Investigational Site | Tullahoma | Tennessee | United States | 37398 |
260 | GSK Investigational Site | Arlington | Texas | United States | 76012 |
261 | GSK Investigational Site | Bedford | Texas | United States | 76201 |
262 | GSK Investigational Site | Cleburne | Texas | United States | 76033 |
263 | GSK Investigational Site | Corpus Christi | Texas | United States | 78404 |
264 | GSK Investigational Site | Corpus Christi | Texas | United States | 78414 |
265 | GSK Investigational Site | Dallas | Texas | United States | 75224 |
266 | GSK Investigational Site | Dallas | Texas | United States | 75230 |
267 | GSK Investigational Site | Dallas | Texas | United States | 75235 |
268 | GSK Investigational Site | Dallas | Texas | United States | 75246 |
269 | GSK Investigational Site | Dallas | Texas | United States | 75251 |
270 | GSK Investigational Site | Deer Park | Texas | United States | 77536 |
271 | GSK Investigational Site | El Paso | Texas | United States | 79925 |
272 | GSK Investigational Site | Fort Worth | Texas | United States | 76104 |
273 | GSK Investigational Site | Fort Worth | Texas | United States | 76135 |
274 | GSK Investigational Site | Houston | Texas | United States | 77024 |
275 | GSK Investigational Site | Houston | Texas | United States | 77030 |
276 | GSK Investigational Site | Houston | Texas | United States | 77034 |
277 | GSK Investigational Site | Houston | Texas | United States | 77036 |
278 | GSK Investigational Site | Houston | Texas | United States | 77055 |
279 | GSK Investigational Site | Houston | Texas | United States | 77058 |
280 | GSK Investigational Site | Houston | Texas | United States | 77070 |
281 | GSK Investigational Site | Houston | Texas | United States | 77074 |
282 | GSK Investigational Site | Hurst | Texas | United States | 76054 |
283 | GSK Investigational Site | Katy | Texas | United States | 77450 |
284 | GSK Investigational Site | Lake Jackson | Texas | United States | 77566 |
285 | GSK Investigational Site | Lewisville | Texas | United States | 75067 |
286 | GSK Investigational Site | Midland | Texas | United States | 79707 |
287 | GSK Investigational Site | North Richland Hills | Texas | United States | 76180 |
288 | GSK Investigational Site | Odessa | Texas | United States | 79761 |
289 | GSK Investigational Site | San Antonio | Texas | United States | 78215 |
290 | GSK Investigational Site | San Antonio | Texas | United States | 78217 |
291 | GSK Investigational Site | San Antonio | Texas | United States | 78218 |
292 | GSK Investigational Site | San Antonio | Texas | United States | 78224 |
293 | GSK Investigational Site | San Antonio | Texas | United States | 78229 |
294 | GSK Investigational Site | San Antonio | Texas | United States | 78258 |
295 | GSK Investigational Site | Schertz | Texas | United States | 78154 |
296 | GSK Investigational Site | Sugar Land | Texas | United States | 77479 |
297 | GSK Investigational Site | Sugarland | Texas | United States | 77479 |
298 | GSK Investigational Site | Temple | Texas | United States | 76508 |
299 | GSK Investigational Site | Orem | Utah | United States | 84058 |
300 | GSK Investigational Site | Salt Lake City | Utah | United States | 84102 |
301 | GSK Investigational Site | Salt Lake City | Utah | United States | 84107 |
302 | GSK Investigational Site | West Jordan | Utah | United States | 84088 |
303 | GSK Investigational Site | West Valley City | Utah | United States | 84120 |
304 | GSK Investigational Site | South Burlington | Vermont | United States | 05403 |
305 | GSK Investigational Site | Burke | Virginia | United States | 22015 |
306 | GSK Investigational Site | Hampton | Virginia | United States | 23666 |
307 | GSK Investigational Site | Manassas | Virginia | United States | 20110 |
308 | GSK Investigational Site | Norfolk | Virginia | United States | 23502 |
309 | GSK Investigational Site | Richmond | Virginia | United States | 23294 |
310 | GSK Investigational Site | Suffolk | Virginia | United States | |
311 | GSK Investigational Site | Virgina Beach | Virginia | United States | 23455 |
312 | GSK Investigational Site | Weber City | Virginia | United States | 24290 |
313 | GSK Investigational Site | Federal Way | Washington | United States | 98003 |
314 | GSK Investigational Site | Renton | Washington | United States | 98057 |
315 | GSK Investigational Site | Richland | Washington | United States | 99352 |
316 | GSK Investigational Site | Selah | Washington | United States | 98942 |
317 | GSK Investigational Site | Spokane | Washington | United States | 99208 |
318 | GSK Investigational Site | Spokane | Washington | United States | 99216 |
319 | GSK Investigational Site | Tacoma | Washington | United States | 98405 |
320 | GSK Investigational Site | Lewisburg | West Virginia | United States | 24901 |
321 | GSK Investigational Site | Milwaukee | Wisconsin | United States | 53226 |
322 | GSK Investigational Site | Villingen-Schwenningen | Baden-Wuerttemberg | Germany | 78054 |
323 | GSK Investigational Site | Kuenzing | Bayern | Germany | 94550 |
324 | GSK Investigational Site | Kelkheim | Hessen | Germany | 65779 |
325 | GSK Investigational Site | Rotenburg | Hessen | Germany | 36199 |
326 | GSK Investigational Site | Bad Lauterberg | Niedersachsen | Germany | 37431 |
327 | GSK Investigational Site | Mainz | Rheinland-Pfalz | Germany | 55116 |
328 | GSK Investigational Site | Berlin | Germany | 10115 | |
329 | GSK Investigational Site | Chaiwan | Hong Kong | ||
330 | GSK Investigational Site | Kwun Tong, Kowloon | Hong Kong | ||
331 | GSK Investigational Site | Shatin | Hong Kong | ||
332 | GSK Investigational Site | Tai Po, | Hong Kong | ||
333 | GSK Investigational Site | Aurangabad | India | 431001 | |
334 | GSK Investigational Site | Bangalore | India | 560043 | |
335 | GSK Investigational Site | Chennai | India | 600086 | |
336 | GSK Investigational Site | Pune | India | 411 011 | |
337 | GSK Investigational Site | Pune | India | 411011 | |
338 | GSK Investigational Site | Callao | Lima | Peru | Callao 2 |
339 | GSK Investigational Site | Ica | Peru | 11 | |
340 | GSK Investigational Site | Lima | Peru | 01 | |
341 | GSK Investigational Site | Lima | Peru | Lima 1 | |
342 | GSK Investigational Site | Cebu City | Philippines | 6000 | |
343 | GSK Investigational Site | Marikina City | Philippines | 1810 | |
344 | GSK Investigational Site | Quezon City | Philippines | 1101 | |
345 | GSK Investigational Site | Quezon City | Philippines | 1102 | |
346 | GSK Investigational Site | San Juan | Philippines | 1500 | |
347 | GSK Investigational Site | Taytay Rizal | Philippines | 1920 | |
348 | GSK Investigational Site | Smolensk | Russian Federation | 214 019 | |
349 | GSK Investigational Site | Yaroslavl | Russian Federation | 150062 | |
350 | GSK Investigational Site | Alzira/Valencia | Spain | 46600 | |
351 | GSK Investigational Site | Barcelona | Spain | 08022 | |
352 | GSK Investigational Site | Madrid | Spain | 28034 | |
353 | GSK Investigational Site | Palma de Mallorca | Spain | 07010 | |
354 | GSK Investigational Site | Sevilla | Spain | 41003 | |
355 | GSK Investigational Site | Blackpool | Lancashire | United Kingdom | FY4 3AD |
356 | GSK Investigational Site | Coventry | West Midlands | United Kingdom | CV2 2DX |
357 | GSK Investigational Site | Glasgow | United Kingdom | G45 9AW | |
358 | GSK Investigational Site | London | United Kingdom | SE1 9NH |
Sponsors and Collaborators
- GlaxoSmithKline
Investigators
- Study Director: GSK Clinical Trials, GlaxoSmithKline
Study Documents (Full-Text)
None provided.More Information
Additional Information:
Publications
None provided.- 112757
Study Results
Participant Flow
Recruitment Details | |
---|---|
Pre-assignment Detail | Participants (par.) who met eligibility criteria and completed a 6- to 8-week Run-in/Stabilization Period were then randomized to a 156-week Treatment Period, followed by 8 weeks of post-treatment follow-up. A total of 992 par. were screened; 685 par. were randomized, and 663 par. received >=1 treatment dose. |
Arm/Group Title | Placebo + Metformin + Glimepiride | Pioglitazone + Metformin + Glimepiride | Albiglutide + Metformin + Glimepiride |
---|---|---|---|
Arm/Group Description | Participants received albiglutide matching placebo as a subcutaneous injection weekly via a fully disposable pen injector system with open-label glimepiride (4 milligrams [mg] daily orally) with metformin (>=1500 mg daily orally). Participants did not receive investigational product during the Follow-up Period. | Participants received pioglitazone (30 mg daily orally; with treatment-masked uptitration if needed to 45 mg) and albiglutide-matching placebo weekly as a subcutaneous injection via a fully disposable pen injector system with open-label glimepiride (4 mg daily orally) with metformin (>=1500 mg daily orally). Participants did not receive investigational product during the Follow-up Period. | Participants received pioglitazone-matching placebo daily orally and albiglutide (30 mg weekly; treatment-masked uptitration if needed to 50 mg weekly) as a subcutaneous injection via a fully disposable pen injector system with open-label glimepiride (4 mg daily orally) with metformin (>=1500 mg daily orally). Participants did not receive investigational product during the Follow-up Period. |
Period Title: Treatment Period (TP) (156 Weeks) | |||
STARTED | 115 | 277 | 271 |
COMPLETED | 55 | 159 | 152 |
NOT COMPLETED | 60 | 118 | 119 |
Period Title: Treatment Period (TP) (156 Weeks) | |||
STARTED | 114 | 273 | 266 |
COMPLETED | 86 | 217 | 204 |
NOT COMPLETED | 28 | 56 | 62 |
Baseline Characteristics
Arm/Group Title | Placebo + Metformin + Glimepiride | Pioglitazone + Metformin + Glimepiride | Albiglutide + Metformin + Glimepiride | Total |
---|---|---|---|---|
Arm/Group Description | Participants received albiglutide matching placebo as a subcutaneous injection weekly via a fully disposable pen injector system with open-label glimepiride (4 milligrams [mg] daily orally) with metformin (>=1500 mg daily orally). Participants did not receive investigational product during the Follow-up Period. | Participants received pioglitazone (30 mg daily orally; with treatment-masked uptitration if needed to 45 mg) and albiglutide-matching placebo weekly as a subcutaneous injection via a fully disposable pen injector system with open-label glimepiride (4 mg daily orally) with metformin (>=1500 mg daily orally). Participants did not receive investigational product during the Follow-up Period. | Participants received pioglitazone-matching placebo daily orally and albiglutide (30 mg weekly; treatment-masked uptitration if needed to 50 mg weekly) as a subcutaneous injection via a fully disposable pen injector system with open-label glimepiride (4 mg daily orally) with metformin (>=1500 mg daily orally). Participants did not receive investigational product during the Follow-up Period. | Total of all reporting groups |
Overall Participants | 115 | 277 | 271 | 663 |
Age (Years) [Mean (Standard Deviation) ] | ||||
Mean (Standard Deviation) [Years] |
55.7
(9.59)
|
55.7
(9.39)
|
54.5
(9.47)
|
55.2
(9.46)
|
Gender (Count of Participants) | ||||
Female |
45
39.1%
|
129
46.6%
|
136
50.2%
|
310
46.8%
|
Male |
70
60.9%
|
148
53.4%
|
135
49.8%
|
353
53.2%
|
Race/Ethnicity, Customized (Number) [Number] | ||||
African American/African Heritage |
10
8.7%
|
24
8.7%
|
34
12.5%
|
68
10.3%
|
American Indian or Alaskan Native |
9
7.8%
|
10
3.6%
|
22
8.1%
|
41
6.2%
|
Asian - Central/South Asian Heritage |
6
5.2%
|
6
2.2%
|
8
3%
|
20
3%
|
Asian - East Asian Heritage |
2
1.7%
|
8
2.9%
|
12
4.4%
|
22
3.3%
|
Asian - Japanese Heritage |
0
0%
|
1
0.4%
|
2
0.7%
|
3
0.5%
|
Asian - South East Asian Heritage |
7
6.1%
|
24
8.7%
|
14
5.2%
|
45
6.8%
|
Native Hawaiian or Other Pacific Islander |
1
0.9%
|
1
0.4%
|
0
0%
|
2
0.3%
|
White - Arabic/North African Heritage |
1
0.9%
|
2
0.7%
|
2
0.7%
|
5
0.8%
|
White - White/Caucasian/European Heritage |
79
68.7%
|
201
72.6%
|
176
64.9%
|
456
68.8%
|
Mexican American |
0
0%
|
0
0%
|
1
0.4%
|
1
0.2%
|
Outcome Measures
Title | Change From Baseline (BL) in Glycosylated Hemoglobin (HbA1c) at Week 52 |
---|---|
Description | HbA1c is a form of hemoglobin that is measured primarily to identify the average plasma glucose concentration over a 2- to 3-month period. The BL HbA1c value is defined as the last non-missing value before the start of treatment. Change from BL was calculated as the value at Week 52 minus the value at BL. Based on analysis of covariance (ANCOVA): change = treatment + BL HbA1c + prior myocardial infarction history + age category + region. The last observation carried forward (LOCF) method was used to impute missing post-BL HbA1c values; the last non-missing post-BL on-treatment measurement was used to impute the missing measurement. HbA1c values obtained after hyperglycemic rescue were treated as missing and were replaced with pre-rescue values. Nine par. with post-BL values obtained >14 days after the last dose or after hyperglycemic rescue were included in the analysis population but were not analyzed for this endpoint. |
Time Frame | Baseline and Week 52 |
Outcome Measure Data
Analysis Population Description |
---|
Intent-to-Treat (ITT) Population with LOCF: all randomized par. who received >=1 dose of study medication and who had a BL assessment and >=1 post-BL assessment of HbA1c. Only par. with a value at BL and at the specified visit were analyzed. Values were carried forward for par. who were rescued or discontinued from active treatment before Week 52. |
Arm/Group Title | Placebo + Metformin + Glimepiride | Pioglitazone + Metformin + Glimepiride | Albiglutide + Metformin + Glimepiride |
---|---|---|---|
Arm/Group Description | Participants received albiglutide matching placebo as a subcutaneous injection weekly via a fully disposable pen injector system with open-label glimepiride (4 milligrams [mg] daily orally) with metformin (>=1500 mg daily orally). Participants did not receive investigational product during the Follow-up Period. | Participants received pioglitazone (30 mg daily orally; with treatment-masked uptitration if needed to 45 mg) and albiglutide-matching placebo weekly as a subcutaneous injection via a fully disposable pen injector system with open-label glimepiride (4 mg daily orally) with metformin (>=1500 mg daily orally). Participants did not receive investigational product during the Follow-up Period. | Participants received pioglitazone-matching placebo daily orally and albiglutide (30 mg weekly; treatment-masked uptitration if needed to 50 mg weekly) as a subcutaneous injection via a fully disposable pen injector system with open-label glimepiride (4 mg daily orally) with metformin (>=1500 mg daily orally). Participants did not receive investigational product during the Follow-up Period. |
Measure Participants | 115 | 268 | 265 |
Least Squares Mean (Standard Error) [Percentage of HbA1c in the blood] |
0.33
(0.083)
|
-0.80
(0.055)
|
-0.55
(0.055)
|
Statistical Analysis 1
Statistical Analysis Overview | Comparison Group Selection | Placebo + Metformin + Glimepiride, Albiglutide + Metformin + Glimepiride |
---|---|---|
Comments | ||
Type of Statistical Test | Superiority or Other | |
Comments | ||
Statistical Test of Hypothesis | p-Value | <0.0001 |
Comments | ||
Method | ANCOVA | |
Comments | ||
Method of Estimation | Estimation Parameter | Mean Difference (Net) |
Estimated Value | -0.87 | |
Confidence Interval |
(2-Sided) 95% -1.07 to -0.68 |
|
Parameter Dispersion |
Type: Value: |
|
Estimation Comments |
Statistical Analysis 2
Statistical Analysis Overview | Comparison Group Selection | Pioglitazone + Metformin + Glimepiride, Albiglutide + Metformin + Glimepiride |
---|---|---|
Comments | ||
Type of Statistical Test | Non-Inferiority or Equivalence | |
Comments | The p-value is from a one-sided t-test testing at the 0.025 level of significance whether or not the difference of least square means (albiglutide - pioglitazone) is less than or equal to the pre-specified non-inferiority margin of 0.3%. | |
Statistical Test of Hypothesis | p-Value | 0.2685 |
Comments | ||
Method | t-test, 1 sided | |
Comments | ||
Method of Estimation | Estimation Parameter | Mean Difference (Net) |
Estimated Value | 0.25 | |
Confidence Interval |
(2-Sided) 95% 0.10 to 0.40 |
|
Parameter Dispersion |
Type: Value: |
|
Estimation Comments |
Title | Change From Baseline in HbA1c at Week 104 and Week 156 |
---|---|
Description | HbA1c is a form of hemoglobin that is measured primarily to identify the average plasma glucose concentration over a 2- to 3-month period. The Baseline HbA1c value is defined as the last non-missing value before the start of treatment. Change from Baseline was calculated as the post-Baseline value minus the Baseline value. This analysis used observed HbA1c values, excluding those obtained after hyperglycemia rescue; no missing data imputation was performed. |
Time Frame | Baseline, Week 104, and Week 156 |
Outcome Measure Data
Analysis Population Description |
---|
ITT Population with observed values. Only those participants with a value at Baseline and at the specified visit were analyzed (represented by n=X, X, X in the category titles). |
Arm/Group Title | Placebo + Metformin + Glimepiride | Pioglitazone + Metformin + Glimepiride | Albiglutide + Metformin + Glimepiride |
---|---|---|---|
Arm/Group Description | Participants received albiglutide matching placebo as a subcutaneous injection weekly via a fully disposable pen injector system with open-label glimepiride (4 milligrams [mg] daily orally) with metformin (>=1500 mg daily orally). Participants did not receive investigational product during the Follow-up Period. | Participants received pioglitazone (30 mg daily orally; with treatment-masked uptitration if needed to 45 mg) and albiglutide-matching placebo weekly as a subcutaneous injection via a fully disposable pen injector system with open-label glimepiride (4 mg daily orally) with metformin (>=1500 mg daily orally). Participants did not receive investigational product during the Follow-up Period. | Participants received pioglitazone-matching placebo daily orally and albiglutide (30 mg weekly; treatment-masked uptitration if needed to 50 mg weekly) as a subcutaneous injection via a fully disposable pen injector system with open-label glimepiride (4 mg daily orally) with metformin (>=1500 mg daily orally). Participants did not receive investigational product during the Follow-up Period. |
Measure Participants | 12 | 130 | 104 |
Week 104, n=12, 130, 104 |
-0.32
(0.552)
|
-1.09
(1.119)
|
-0.76
(1.009)
|
Week 156, n=9, 89, 71 |
-0.10
(0.923)
|
-0.97
(1.063)
|
-0.46
(1.113)
|
Title | Change From Baseline in Fasting Plasma Glucose (FPG) at Week 52 |
---|---|
Description | The FPG test measures blood sugar levels after the participant has not eaten (fasted) for 12 to 14 hours. The Baseline FPG value is the last non-missing value before the start of treatment. The LOCF method was used to impute missing post-Baseline FPG values. FPG values obtained after hyperglycemia rescue were treated as missing and replaced with pre-rescue values. Change from Baseline was calculated as the post-Baseline value minus the Baseline value. Based on ANCOVA: change = treatment + Baseline FPG + Baseline HbA1c category + prior myocardial infarction history + age category + region. |
Time Frame | Baseline and Week 52 |
Outcome Measure Data
Analysis Population Description |
---|
Intent-to-Treat (ITT) Population with LOCF. Only those participants with a value at Baseline and at the specified visit were analyzed. Values were carried forward for participants who were rescued or discontinued from active treatment before Week 52. |
Arm/Group Title | Placebo + Metformin + Glimepiride | Pioglitazone + Metformin + Glimepiride | Albiglutide + Metformin + Glimepiride |
---|---|---|---|
Arm/Group Description | Participants received albiglutide matching placebo as a subcutaneous injection weekly via a fully disposable pen injector system with open-label glimepiride (4 milligrams [mg] daily orally) with metformin (>=1500 mg daily orally). Participants did not receive investigational product during the Follow-up Period. | Participants received pioglitazone (30 mg daily orally; with treatment-masked uptitration if needed to 45 mg) and albiglutide-matching placebo weekly as a subcutaneous injection via a fully disposable pen injector system with open-label glimepiride (4 mg daily orally) with metformin (>=1500 mg daily orally). Participants did not receive investigational product during the Follow-up Period. | Participants received pioglitazone-matching placebo daily orally and albiglutide (30 mg weekly; treatment-masked uptitration if needed to 50 mg weekly) as a subcutaneous injection via a fully disposable pen injector system with open-label glimepiride (4 mg daily orally) with metformin (>=1500 mg daily orally). Participants did not receive investigational product during the Follow-up Period. |
Measure Participants | 115 | 272 | 268 |
Least Squares Mean (Standard Error) [Millimoles per liter (mmol/L)] |
0.64
(0.243)
|
-1.74
(0.158)
|
-0.69
(0.159)
|
Title | Change From Baseline in FPG at Week 104 and Week 156 |
---|---|
Description | The FPG test measures blood sugar levels after the participant has not eaten (fasted) for 12 to 14 hours. The Baseline FPG value is the last non-missing value before the start of treatment. Change from Baseline was calculated as the post-Baseline value minus the Baseline value. This analysis used observed FPG values excluding those obtained after hyperglycemia rescue; no missing data imputation was performed. |
Time Frame | Baseline, Week 104, and Week 156 |
Outcome Measure Data
Analysis Population Description |
---|
ITT Population with observed values. Only those participants with a value at Baseline and at the specified visit were analyzed (represented by n=X, X, X in the category titles). |
Arm/Group Title | Placebo + Metformin + Glimepiride | Pioglitazone + Metformin + Glimepiride | Albiglutide + Metformin + Glimepiride |
---|---|---|---|
Arm/Group Description | Participants received albiglutide matching placebo as a subcutaneous injection weekly via a fully disposable pen injector system with open-label glimepiride (4 milligrams [mg] daily orally) with metformin (>=1500 mg daily orally). Participants did not receive investigational product during the Follow-up Period. | Participants received pioglitazone (30 mg daily orally; with treatment-masked uptitration if needed to 45 mg) and albiglutide-matching placebo weekly as a subcutaneous injection via a fully disposable pen injector system with open-label glimepiride (4 mg daily orally) with metformin (>=1500 mg daily orally). Participants did not receive investigational product during the Follow-up Period. | Participants received pioglitazone-matching placebo daily orally and albiglutide (30 mg weekly; treatment-masked uptitration if needed to 50 mg weekly) as a subcutaneous injection via a fully disposable pen injector system with open-label glimepiride (4 mg daily orally) with metformin (>=1500 mg daily orally). Participants did not receive investigational product during the Follow-up Period. |
Measure Participants | 12 | 128 | 103 |
Week 104, n=12, 128, 103 |
0.43
(3.346)
|
-1.98
(3.471)
|
-0.99
(3.083)
|
Week 156, n=9, 88, 71 |
-0.50
(4.093)
|
-1.94
(3.127)
|
-0.88
(2.652)
|
Title | Time to Hyperglycemia Rescue |
---|---|
Description | Participants who experienced persistent hyperglycemia (high blood glucose) could have qualified for hyperglycemia rescue. The conditions for hyperglycemia rescue were as follows: FPG >=280 milligrams/deciliter (mg/dL) between >=Week 2 and <Week 4; FPG >=250 mg/dL between >=Week 4 and <Week 12; HbA1c >=8.5% and a <=0.5% reduction from Baseline between >=Week 12 and <Week 24; HbA1c >=8.5% between >=Week 24 and <Week 48; HbA1c >=8.0% between >= Week 48 and <Week 156. Participants could have been rescued at any time on or after Week 2. Time to hyperglycemia rescue is defined as the time between the date of the first dose of study medication and the date of hyperglycemia rescue plus 1 day, or the time between the date of the first dose of study medication and the date of the last visit during the active treatment period plus 1 day for participants not requiring rescue. This time was divided by 7 to express the result in weeks. |
Time Frame | From the start of study medication until the end of the treatment (up to Week 156) |
Outcome Measure Data
Analysis Population Description |
---|
ITT Population |
Arm/Group Title | Placebo + Metformin + Glimepiride | Pioglitazone + Metformin + Glimepiride | Albiglutide + Metformin + Glimepiride |
---|---|---|---|
Arm/Group Description | Participants received albiglutide matching placebo as a subcutaneous injection weekly via a fully disposable pen injector system with open-label glimepiride (4 milligrams [mg] daily orally) with metformin (>=1500 mg daily orally). Participants did not receive investigational product during the Follow-up Period. | Participants received pioglitazone (30 mg daily orally; with treatment-masked uptitration if needed to 45 mg) and albiglutide-matching placebo weekly as a subcutaneous injection via a fully disposable pen injector system with open-label glimepiride (4 mg daily orally) with metformin (>=1500 mg daily orally). Participants did not receive investigational product during the Follow-up Period. | Participants received pioglitazone-matching placebo daily orally and albiglutide (30 mg weekly; treatment-masked uptitration if needed to 50 mg weekly) as a subcutaneous injection via a fully disposable pen injector system with open-label glimepiride (4 mg daily orally) with metformin (>=1500 mg daily orally). Participants did not receive investigational product during the Follow-up Period. |
Measure Participants | 115 | 273 | 269 |
Median (95% Confidence Interval) [Weeks] |
49.57
|
NA
|
137.71
|
Title | Number of Participants Who Achieved Clinically Meaningful HbA1c Response Levels of <6.5%, <7%, and <7.5% at Week 52 |
---|---|
Description | The number of participants who acheieved the HbA1c treatment goal (i.e., HbA1c response levels of <6.5%, <7%, and <7.5% at Week 52) was assessed. Values were carried forward for participants who were rescued or discontinued from active treatment before Week 52. |
Time Frame | Week 52 |
Outcome Measure Data
Analysis Population Description |
---|
ITT Population with LOCF. Only those participants with a value at Baseline and at the specified visit were analyzed. |
Arm/Group Title | Placebo + Metformin + Glimepiride | Pioglitazone + Metformin + Glimepiride | Albiglutide + Metformin + Glimepiride |
---|---|---|---|
Arm/Group Description | Participants received albiglutide matching placebo as a subcutaneous injection weekly via a fully disposable pen injector system with open-label glimepiride (4 milligrams [mg] daily orally) with metformin (>=1500 mg daily orally). Participants did not receive investigational product during the Follow-up Period. | Participants received pioglitazone (30 mg daily orally; with treatment-masked uptitration if needed to 45 mg) and albiglutide-matching placebo weekly as a subcutaneous injection via a fully disposable pen injector system with open-label glimepiride (4 mg daily orally) with metformin (>=1500 mg daily orally). Participants did not receive investigational product during the Follow-up Period. | Participants received pioglitazone-matching placebo daily orally and albiglutide (30 mg weekly; treatment-masked uptitration if needed to 50 mg weekly) as a subcutaneous injection via a fully disposable pen injector system with open-label glimepiride (4 mg daily orally) with metformin (>=1500 mg daily orally). Participants did not receive investigational product during the Follow-up Period. |
Measure Participants | 115 | 268 | 265 |
HbA1c <6.5% |
4
3.5%
|
37
13.4%
|
27
10%
|
HbA1c <7.0% |
10
8.7%
|
94
33.9%
|
79
29.2%
|
HbA1c <7.5% |
19
16.5%
|
150
54.2%
|
126
46.5%
|
Title | Number of Participants Who Achieved Clinically Meaningful HbA1c Response Levels of <6.5%, <7%, and <7.5% at Week 156 |
---|---|
Description | The number of participants who acheieved the HbA1c treatment goal (i.e., HbA1c response levels of <6.5%, <7%, and <7.5% at Week 156) was assessed. |
Time Frame | Week 156 |
Outcome Measure Data
Analysis Population Description |
---|
ITT Population with observed values. Only those participants with a value at Baseline and at the specified visit were analyzed. This analysis used observed HbA1c values excluding those obtained after hyperglycemia rescue; no missing data imputation was performed. |
Arm/Group Title | Placebo + Metformin + Glimepiride | Pioglitazone + Metformin + Glimepiride | Albiglutide + Metformin + Glimepiride |
---|---|---|---|
Arm/Group Description | Participants received albiglutide matching placebo as a subcutaneous injection weekly via a fully disposable pen injector system with open-label glimepiride (4 milligrams [mg] daily orally) with metformin (>=1500 mg daily orally). Participants did not receive investigational product during the Follow-up Period. | Participants received pioglitazone (30 mg daily orally; with treatment-masked uptitration if needed to 45 mg) and albiglutide-matching placebo weekly as a subcutaneous injection via a fully disposable pen injector system with open-label glimepiride (4 mg daily orally) with metformin (>=1500 mg daily orally). Participants did not receive investigational product during the Follow-up Period. | Participants received pioglitazone-matching placebo daily orally and albiglutide (30 mg weekly; treatment-masked uptitration if needed to 50 mg weekly) as a subcutaneous injection via a fully disposable pen injector system with open-label glimepiride (4 mg daily orally) with metformin (>=1500 mg daily orally). Participants did not receive investigational product during the Follow-up Period. |
Measure Participants | 9 | 89 | 71 |
HbA1c <6.5% |
1
0.9%
|
23
8.3%
|
16
5.9%
|
HbA1c <7.0% |
3
2.6%
|
44
15.9%
|
26
9.6%
|
HbA1c <7.5% |
5
4.3%
|
68
24.5%
|
45
16.6%
|
Title | Change From Baseline in Body Weight at Week 52 |
---|---|
Description | The Baseline value is the last non-missing value before the start of treatment. Change from Baseline was calculated as the post-Baseline weight minus the Baseline weight. The LOCF method was used to impute missing post-Baseline weight values. Weight values obtained after hyperglycemia rescue were treated as missing and replaced with pre-rescue values. Based on ANCOVA: change = treatment + Baseline weight + Baseline HbA1c category + prior myocardial infarction history + age category + region. |
Time Frame | Baseline and Week 52 |
Outcome Measure Data
Analysis Population Description |
---|
ITT Population with LOCF. Only those participants with a value at Baseline and at the specified visit were analyzed. Values were carried forward for participants who were rescued or discontinued from active treatment before Week 52. |
Arm/Group Title | Placebo + Metformin + Glimepiride | Pioglitazone + Metformin + Glimepiride | Albiglutide + Metformin + Glimepiride |
---|---|---|---|
Arm/Group Description | Participants received albiglutide matching placebo as a subcutaneous injection weekly via a fully disposable pen injector system with open-label glimepiride (4 milligrams [mg] daily orally) with metformin (>=1500 mg daily orally). Participants did not receive investigational product during the Follow-up Period. | Participants received pioglitazone (30 mg daily orally; with treatment-masked uptitration if needed to 45 mg) and albiglutide-matching placebo weekly as a subcutaneous injection via a fully disposable pen injector system with open-label glimepiride (4 mg daily orally) with metformin (>=1500 mg daily orally). Participants did not receive investigational product during the Follow-up Period. | Participants received pioglitazone-matching placebo daily orally and albiglutide (30 mg weekly; treatment-masked uptitration if needed to 50 mg weekly) as a subcutaneous injection via a fully disposable pen injector system with open-label glimepiride (4 mg daily orally) with metformin (>=1500 mg daily orally). Participants did not receive investigational product during the Follow-up Period. |
Measure Participants | 115 | 272 | 268 |
Least Squares Mean (Standard Error) [Kilograms] |
-0.40
(0.362)
|
4.43
(0.235)
|
-0.42
(0.237)
|
Title | Change From Baseline in Body Weight at Week 104 and Week 156 |
---|---|
Description | The Baseline value is the last non-missing value before the start of treatment. Change from Baseline was calculated as the post-Baseline weight minus the Baseline weight. This analysis used observed body weight values excluding those obtained after hyperglycemia rescue; no missing data imputation was performed. |
Time Frame | Baseline, Week 104, and Week 156 |
Outcome Measure Data
Analysis Population Description |
---|
ITT Population with observed values. Only those participants with a value at Baseline and at the specified visit were analyzed (represented by n=X, X, X in the category titles). |
Arm/Group Title | Placebo + Metformin + Glimepiride | Pioglitazone + Metformin + Glimepiride | Albiglutide + Metformin + Glimepiride |
---|---|---|---|
Arm/Group Description | Participants received albiglutide matching placebo as a subcutaneous injection weekly via a fully disposable pen injector system with open-label glimepiride (4 milligrams [mg] daily orally) with metformin (>=1500 mg daily orally). Participants did not receive investigational product during the Follow-up Period. | Participants received pioglitazone (30 mg daily orally; with treatment-masked uptitration if needed to 45 mg) and albiglutide-matching placebo weekly as a subcutaneous injection via a fully disposable pen injector system with open-label glimepiride (4 mg daily orally) with metformin (>=1500 mg daily orally). Participants did not receive investigational product during the Follow-up Period. | Participants received pioglitazone-matching placebo daily orally and albiglutide (30 mg weekly; treatment-masked uptitration if needed to 50 mg weekly) as a subcutaneous injection via a fully disposable pen injector system with open-label glimepiride (4 mg daily orally) with metformin (>=1500 mg daily orally). Participants did not receive investigational product during the Follow-up Period. |
Measure Participants | 12 | 130 | 104 |
Week 104, n=12, 130, 104 |
-2.16
(3.603)
|
6.28
(6.189)
|
-0.90
(3.721)
|
Week 156, n=9, 90, 71 |
-4.47
(5.380)
|
6.52
(6.332)
|
-1.53
(3.880)
|
Adverse Events
Time Frame | On-treatment serious adverse events (SAEs) and non-serious AEs, defined as those events that had a start date on or after the first day of study medication and within 56 days after the end of study medication (up to Week 156), are reported. | |||||
---|---|---|---|---|---|---|
Adverse Event Reporting Description | SAEs and non-serious AEs are reported for members of the Safety Population, comprised of all participants who received at least one dose of study treatment. | |||||
Arm/Group Title | Placebo + Metformin + Glimepiride | Pioglitazone + Metformin + Glimepiride | Albiglutide + Metformin + Glimepiride | |||
Arm/Group Description | Participants received albiglutide matching placebo as a subcutaneous injection weekly via a fully disposable pen injector system with open-label glimepiride (4 milligrams [mg] daily orally) with metformin (>=1500 mg daily orally). Participants did not receive investigational product during the Follow-up Period. | Participants received pioglitazone (30 mg daily orally; with treatment-masked uptitration if needed to 45 mg) and albiglutide-matching placebo weekly as a subcutaneous injection via a fully disposable pen injector system with open-label glimepiride (4 mg daily orally) with metformin (>=1500 mg daily orally). Participants did not receive investigational product during the Follow-up Period. | Participants received pioglitazone-matching placebo daily orally and albiglutide (30 mg weekly; treatment-masked uptitration if needed to 50 mg weekly) as a subcutaneous injection via a fully disposable pen injector system with open-label glimepiride (4 mg daily orally) with metformin (>=1500 mg daily orally). Participants did not receive investigational product during the Follow-up Period. | |||
All Cause Mortality |
||||||
Placebo + Metformin + Glimepiride | Pioglitazone + Metformin + Glimepiride | Albiglutide + Metformin + Glimepiride | ||||
Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | |
Total | / (NaN) | / (NaN) | / (NaN) | |||
Serious Adverse Events |
||||||
Placebo + Metformin + Glimepiride | Pioglitazone + Metformin + Glimepiride | Albiglutide + Metformin + Glimepiride | ||||
Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | |
Total | 21/115 (18.3%) | 48/277 (17.3%) | 39/271 (14.4%) | |||
Blood and lymphatic system disorders | ||||||
Anaemia | 0/115 (0%) | 1/277 (0.4%) | 0/271 (0%) | |||
Lymphadenopathy | 0/115 (0%) | 0/277 (0%) | 1/271 (0.4%) | |||
Cardiac disorders | ||||||
Coronary artery disease | 0/115 (0%) | 4/277 (1.4%) | 3/271 (1.1%) | |||
Cardiac failure congestive | 1/115 (0.9%) | 4/277 (1.4%) | 0/271 (0%) | |||
Angina unstable | 1/115 (0.9%) | 0/277 (0%) | 3/271 (1.1%) | |||
Acute myocardial infarction | 1/115 (0.9%) | 2/277 (0.7%) | 0/271 (0%) | |||
Sick sinus syndrome | 0/115 (0%) | 1/277 (0.4%) | 2/271 (0.7%) | |||
Atrial fibrillation | 0/115 (0%) | 1/277 (0.4%) | 1/271 (0.4%) | |||
Acute coronary syndrome | 0/115 (0%) | 1/277 (0.4%) | 0/271 (0%) | |||
Arteriosclerosis coronary | 0/115 (0%) | 0/277 (0%) | 1/271 (0.4%) | |||
Cardiac failure | 1/115 (0.9%) | 0/277 (0%) | 0/271 (0%) | |||
Myocardial infarction | 0/115 (0%) | 0/277 (0%) | 1/271 (0.4%) | |||
Eye disorders | ||||||
Cataract | 0/115 (0%) | 1/277 (0.4%) | 1/271 (0.4%) | |||
Gastrointestinal disorders | ||||||
Abdominal hernia | 0/115 (0%) | 0/277 (0%) | 2/271 (0.7%) | |||
Pancreatitis | 0/115 (0%) | 0/277 (0%) | 2/271 (0.7%) | |||
Small intestinal obstruction | 0/115 (0%) | 1/277 (0.4%) | 1/271 (0.4%) | |||
Abdominal pain | 1/115 (0.9%) | 0/277 (0%) | 0/271 (0%) | |||
Constipation | 0/115 (0%) | 0/277 (0%) | 1/271 (0.4%) | |||
Duodenal ulcer haemorrhage | 0/115 (0%) | 1/277 (0.4%) | 0/271 (0%) | |||
Retroperitoneal haemorrhage | 0/115 (0%) | 1/277 (0.4%) | 0/271 (0%) | |||
Sigmoiditis | 0/115 (0%) | 0/277 (0%) | 1/271 (0.4%) | |||
Vomiting | 0/115 (0%) | 0/277 (0%) | 1/271 (0.4%) | |||
General disorders | ||||||
Chest pain | 1/115 (0.9%) | 4/277 (1.4%) | 2/271 (0.7%) | |||
Sudden death | 0/115 (0%) | 0/277 (0%) | 1/271 (0.4%) | |||
Infections and infestations | ||||||
Pneumonia | 2/115 (1.7%) | 1/277 (0.4%) | 2/271 (0.7%) | |||
Cellulitis | 2/115 (1.7%) | 1/277 (0.4%) | 0/271 (0%) | |||
Diabetic foot infection | 1/115 (0.9%) | 0/277 (0%) | 1/271 (0.4%) | |||
Abscess | 0/115 (0%) | 1/277 (0.4%) | 0/271 (0%) | |||
Febrile infection | 1/115 (0.9%) | 0/277 (0%) | 0/271 (0%) | |||
Gangrene | 0/115 (0%) | 1/277 (0.4%) | 0/271 (0%) | |||
Gastroenteritis | 0/115 (0%) | 0/277 (0%) | 1/271 (0.4%) | |||
Gastroenteritis viral | 1/115 (0.9%) | 0/277 (0%) | 0/271 (0%) | |||
Infected bites | 0/115 (0%) | 0/277 (0%) | 1/271 (0.4%) | |||
Influenza | 1/115 (0.9%) | 0/277 (0%) | 0/271 (0%) | |||
Lobar pneumonia | 1/115 (0.9%) | 0/277 (0%) | 0/271 (0%) | |||
Localised infection | 0/115 (0%) | 1/277 (0.4%) | 0/271 (0%) | |||
Meningitis pneumococcal | 1/115 (0.9%) | 0/277 (0%) | 0/271 (0%) | |||
Pancreatitis viral | 0/115 (0%) | 0/277 (0%) | 1/271 (0.4%) | |||
Peritonitis | 0/115 (0%) | 1/277 (0.4%) | 0/271 (0%) | |||
Postoperative wound infection | 0/115 (0%) | 1/277 (0.4%) | 0/271 (0%) | |||
Septic shock | 0/115 (0%) | 1/277 (0.4%) | 0/271 (0%) | |||
Tracheobronchitis | 0/115 (0%) | 0/277 (0%) | 1/271 (0.4%) | |||
Injury, poisoning and procedural complications | ||||||
Ankle fracture | 0/115 (0%) | 1/277 (0.4%) | 0/271 (0%) | |||
Overdose | 0/115 (0%) | 0/277 (0%) | 1/271 (0.4%) | |||
Road traffic accident | 1/115 (0.9%) | 0/277 (0%) | 0/271 (0%) | |||
Thoracic vertebral fracture | 0/115 (0%) | 0/277 (0%) | 1/271 (0.4%) | |||
Metabolism and nutrition disorders | ||||||
Hypoglycaemia | 1/115 (0.9%) | 2/277 (0.7%) | 0/271 (0%) | |||
Fluid overload | 0/115 (0%) | 1/277 (0.4%) | 0/271 (0%) | |||
Gout | 1/115 (0.9%) | 0/277 (0%) | 0/271 (0%) | |||
Musculoskeletal and connective tissue disorders | ||||||
Osteoarthritis | 0/115 (0%) | 1/277 (0.4%) | 2/271 (0.7%) | |||
Back pain | 1/115 (0.9%) | 1/277 (0.4%) | 0/271 (0%) | |||
Muscle spasms | 0/115 (0%) | 0/277 (0%) | 1/271 (0.4%) | |||
Musculoskeletal chest pain | 0/115 (0%) | 1/277 (0.4%) | 0/271 (0%) | |||
Musculoskeletal pain | 0/115 (0%) | 1/277 (0.4%) | 0/271 (0%) | |||
Spinal column stenosis | 0/115 (0%) | 0/277 (0%) | 1/271 (0.4%) | |||
Neoplasms benign, malignant and unspecified (incl cysts and polyps) | ||||||
Adenocarcinoma pancreas | 0/115 (0%) | 1/277 (0.4%) | 0/271 (0%) | |||
Bile duct cancer | 0/115 (0%) | 0/277 (0%) | 1/271 (0.4%) | |||
Bladder cancer | 0/115 (0%) | 1/277 (0.4%) | 0/271 (0%) | |||
Bladder neoplasm | 0/115 (0%) | 1/277 (0.4%) | 0/271 (0%) | |||
Breast cancer | 0/115 (0%) | 1/277 (0.4%) | 0/271 (0%) | |||
Endometrial cancer | 0/115 (0%) | 1/277 (0.4%) | 0/271 (0%) | |||
Lung neoplasm malignant | 0/115 (0%) | 1/277 (0.4%) | 0/271 (0%) | |||
Prostate cancer | 1/115 (0.9%) | 0/277 (0%) | 0/271 (0%) | |||
Rectal cancer | 0/115 (0%) | 0/277 (0%) | 1/271 (0.4%) | |||
Renal cancer | 0/115 (0%) | 1/277 (0.4%) | 0/271 (0%) | |||
Thyroid adenoma | 0/115 (0%) | 1/277 (0.4%) | 0/271 (0%) | |||
Thyroid cancer | 1/115 (0.9%) | 0/277 (0%) | 0/271 (0%) | |||
Uterine cancer | 0/115 (0%) | 1/277 (0.4%) | 0/271 (0%) | |||
Uterine leiomyoma | 0/115 (0%) | 0/277 (0%) | 1/271 (0.4%) | |||
Nervous system disorders | ||||||
Cerebrovascular accident | 1/115 (0.9%) | 3/277 (1.1%) | 0/271 (0%) | |||
Carotid artery stenosis | 0/115 (0%) | 2/277 (0.7%) | 0/271 (0%) | |||
Transient ischaemic attack | 0/115 (0%) | 2/277 (0.7%) | 0/271 (0%) | |||
Haemorrhagic stroke | 0/115 (0%) | 1/277 (0.4%) | 0/271 (0%) | |||
Headache | 0/115 (0%) | 1/277 (0.4%) | 0/271 (0%) | |||
Hypertensive encephalopathy | 0/115 (0%) | 1/277 (0.4%) | 0/271 (0%) | |||
Hypoaesthesia | 0/115 (0%) | 0/277 (0%) | 1/271 (0.4%) | |||
Ischaemic stroke | 1/115 (0.9%) | 0/277 (0%) | 0/271 (0%) | |||
Metabolic encephalopathy | 1/115 (0.9%) | 0/277 (0%) | 0/271 (0%) | |||
Migraine | 0/115 (0%) | 1/277 (0.4%) | 0/271 (0%) | |||
Myelitis transverse | 0/115 (0%) | 0/277 (0%) | 1/271 (0.4%) | |||
Nerve compression | 0/115 (0%) | 1/277 (0.4%) | 0/271 (0%) | |||
Trigeminal neuralgia | 0/115 (0%) | 1/277 (0.4%) | 0/271 (0%) | |||
Vith nerve paralysis | 0/115 (0%) | 1/277 (0.4%) | 0/271 (0%) | |||
Psychiatric disorders | ||||||
Bipolar disorder | 0/115 (0%) | 0/277 (0%) | 1/271 (0.4%) | |||
Major depression | 0/115 (0%) | 1/277 (0.4%) | 0/271 (0%) | |||
Panic disorder | 0/115 (0%) | 0/277 (0%) | 1/271 (0.4%) | |||
Suicidal ideation | 0/115 (0%) | 1/277 (0.4%) | 0/271 (0%) | |||
Renal and urinary disorders | ||||||
Nephrolithiasis | 3/115 (2.6%) | 0/277 (0%) | 0/271 (0%) | |||
Glomerulonephritis acute | 1/115 (0.9%) | 0/277 (0%) | 0/271 (0%) | |||
Respiratory, thoracic and mediastinal disorders | ||||||
Respiratory failure | 1/115 (0.9%) | 1/277 (0.4%) | 0/271 (0%) | |||
Pneumothorax | 1/115 (0.9%) | 0/277 (0%) | 0/271 (0%) | |||
Pulmonary embolism | 1/115 (0.9%) | 0/277 (0%) | 0/271 (0%) | |||
Vascular disorders | ||||||
Hypertensive crisis | 0/115 (0%) | 0/277 (0%) | 2/271 (0.7%) | |||
Peripheral artery stenosis | 0/115 (0%) | 0/277 (0%) | 1/271 (0.4%) | |||
Other (Not Including Serious) Adverse Events |
||||||
Placebo + Metformin + Glimepiride | Pioglitazone + Metformin + Glimepiride | Albiglutide + Metformin + Glimepiride | ||||
Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | |
Total | 81/115 (70.4%) | 228/277 (82.3%) | 228/271 (84.1%) | |||
Blood and lymphatic system disorders | ||||||
Anaemia | 4/115 (3.5%) | 24/277 (8.7%) | 13/271 (4.8%) | |||
Leukocytosis | 3/115 (2.6%) | 0/277 (0%) | 2/271 (0.7%) | |||
Ear and labyrinth disorders | ||||||
Vertigo | 1/115 (0.9%) | 7/277 (2.5%) | 9/271 (3.3%) | |||
Eye disorders | ||||||
Diabetic retinopathy | 3/115 (2.6%) | 17/277 (6.1%) | 10/271 (3.7%) | |||
Cataract | 3/115 (2.6%) | 13/277 (4.7%) | 8/271 (3%) | |||
Gastrointestinal disorders | ||||||
Diarrhoea | 12/115 (10.4%) | 23/277 (8.3%) | 37/271 (13.7%) | |||
Nausea | 7/115 (6.1%) | 20/277 (7.2%) | 30/271 (11.1%) | |||
Abdominal pain | 2/115 (1.7%) | 7/277 (2.5%) | 17/271 (6.3%) | |||
Constipation | 7/115 (6.1%) | 11/277 (4%) | 14/271 (5.2%) | |||
Gastrooesophageal reflux disease | 3/115 (2.6%) | 9/277 (3.2%) | 12/271 (4.4%) | |||
Dyspepsia | 1/115 (0.9%) | 2/277 (0.7%) | 10/271 (3.7%) | |||
Vomiting | 4/115 (3.5%) | 14/277 (5.1%) | 6/271 (2.2%) | |||
Abdominal pain upper | 1/115 (0.9%) | 7/277 (2.5%) | 6/271 (2.2%) | |||
Gastritis | 3/115 (2.6%) | 5/277 (1.8%) | 5/271 (1.8%) | |||
Toothache | 1/115 (0.9%) | 9/277 (3.2%) | 4/271 (1.5%) | |||
Abdominal distension | 3/115 (2.6%) | 4/277 (1.4%) | 3/271 (1.1%) | |||
General disorders | ||||||
Injection site reaction | 1/115 (0.9%) | 8/277 (2.9%) | 32/271 (11.8%) | |||
Oedema peripheral | 9/115 (7.8%) | 41/277 (14.8%) | 12/271 (4.4%) | |||
Fatigue | 6/115 (5.2%) | 15/277 (5.4%) | 8/271 (3%) | |||
Chest pain | 3/115 (2.6%) | 4/277 (1.4%) | 2/271 (0.7%) | |||
Oedema | 0/115 (0%) | 8/277 (2.9%) | 1/271 (0.4%) | |||
Immune system disorders | ||||||
Seasonal allergy | 3/115 (2.6%) | 4/277 (1.4%) | 5/271 (1.8%) | |||
Infections and infestations | ||||||
Nasopharyngitis | 16/115 (13.9%) | 28/277 (10.1%) | 43/271 (15.9%) | |||
Upper respiratory tract infection | 21/115 (18.3%) | 50/277 (18.1%) | 34/271 (12.5%) | |||
Urinary tract infection | 9/115 (7.8%) | 31/277 (11.2%) | 24/271 (8.9%) | |||
Sinusitis | 7/115 (6.1%) | 16/277 (5.8%) | 18/271 (6.6%) | |||
Bronchitis | 7/115 (6.1%) | 25/277 (9%) | 16/271 (5.9%) | |||
Influenza | 5/115 (4.3%) | 10/277 (3.6%) | 16/271 (5.9%) | |||
Gastroenteritis | 5/115 (4.3%) | 10/277 (3.6%) | 9/271 (3.3%) | |||
Pharyngitis | 5/115 (4.3%) | 9/277 (3.2%) | 8/271 (3%) | |||
Gastroenteritis viral | 2/115 (1.7%) | 3/277 (1.1%) | 6/271 (2.2%) | |||
Furuncle | 0/115 (0%) | 2/277 (0.7%) | 6/271 (2.2%) | |||
Tooth abscess | 4/115 (3.5%) | 3/277 (1.1%) | 5/271 (1.8%) | |||
Herpes zoster | 3/115 (2.6%) | 1/277 (0.4%) | 4/271 (1.5%) | |||
Cellulitis | 2/115 (1.7%) | 13/277 (4.7%) | 2/271 (0.7%) | |||
Injury, poisoning and procedural complications | ||||||
Ligament sprain | 2/115 (1.7%) | 4/277 (1.4%) | 8/271 (3%) | |||
Contusion | 5/115 (4.3%) | 8/277 (2.9%) | 7/271 (2.6%) | |||
Muscle strain | 5/115 (4.3%) | 6/277 (2.2%) | 7/271 (2.6%) | |||
Excoriation | 6/115 (5.2%) | 7/277 (2.5%) | 4/271 (1.5%) | |||
Procedural pain | 1/115 (0.9%) | 8/277 (2.9%) | 3/271 (1.1%) | |||
Rib Fracture | 3/115 (2.6%) | 1/277 (0.4%) | 2/271 (0.7%) | |||
Investigations | ||||||
Cardiac murmur | 0/115 (0%) | 3/277 (1.1%) | 6/271 (2.2%) | |||
Gamma-glutamyltransferase increased | 1/115 (0.9%) | 1/277 (0.4%) | 6/271 (2.2%) | |||
Blood creatinine increased | 1/115 (0.9%) | 6/277 (2.2%) | 1/271 (0.4%) | |||
Weight increased | 0/115 (0%) | 21/277 (7.6%) | 0/271 (0%) | |||
Metabolism and nutrition disorders | ||||||
Hypoglycaemia | 28/115 (24.3%) | 115/277 (41.5%) | 84/271 (31%) | |||
Dyslipidaemia | 1/115 (0.9%) | 4/277 (1.4%) | 7/271 (2.6%) | |||
Decreased appetite | 3/115 (2.6%) | 3/277 (1.1%) | 5/271 (1.8%) | |||
Hyperlipidaemia | 3/115 (2.6%) | 4/277 (1.4%) | 4/271 (1.5%) | |||
Musculoskeletal and connective tissue disorders | ||||||
Arthralgia | 9/115 (7.8%) | 23/277 (8.3%) | 26/271 (9.6%) | |||
Back pain | 8/115 (7%) | 24/277 (8.7%) | 24/271 (8.9%) | |||
Pain in extremity | 5/115 (4.3%) | 14/277 (5.1%) | 12/271 (4.4%) | |||
Muscle spasms | 3/115 (2.6%) | 7/277 (2.5%) | 12/271 (4.4%) | |||
Musculoskeletal pain | 6/115 (5.2%) | 12/277 (4.3%) | 11/271 (4.1%) | |||
Osteoarthritis | 2/115 (1.7%) | 11/277 (4%) | 8/271 (3%) | |||
Tendonitis | 3/115 (2.6%) | 4/277 (1.4%) | 5/271 (1.8%) | |||
Myalgia | 4/115 (3.5%) | 8/277 (2.9%) | 4/271 (1.5%) | |||
Musculoskeletal chest pain | 3/115 (2.6%) | 4/277 (1.4%) | 2/271 (0.7%) | |||
Nervous system disorders | ||||||
Headache | 6/115 (5.2%) | 25/277 (9%) | 21/271 (7.7%) | |||
Dizziness | 6/115 (5.2%) | 9/277 (3.2%) | 16/271 (5.9%) | |||
Neuropathy peripheral | 1/115 (0.9%) | 12/277 (4.3%) | 13/271 (4.8%) | |||
Hypoaesthesia | 1/115 (0.9%) | 7/277 (2.5%) | 7/271 (2.6%) | |||
Diabetic neuropathy | 4/115 (3.5%) | 4/277 (1.4%) | 4/271 (1.5%) | |||
Psychiatric disorders | ||||||
Insomnia | 2/115 (1.7%) | 9/277 (3.2%) | 11/271 (4.1%) | |||
Anxiety | 1/115 (0.9%) | 7/277 (2.5%) | 9/271 (3.3%) | |||
Depression | 3/115 (2.6%) | 12/277 (4.3%) | 5/271 (1.8%) | |||
Reproductive system and breast disorders | ||||||
Benign prostatic hyperplasia | 4/115 (3.5%) | 3/277 (1.1%) | 2/271 (0.7%) | |||
Respiratory, thoracic and mediastinal disorders | ||||||
Cough | 10/115 (8.7%) | 19/277 (6.9%) | 28/271 (10.3%) | |||
Asthma | 0/115 (0%) | 2/277 (0.7%) | 7/271 (2.6%) | |||
Dyspnoea | 2/115 (1.7%) | 9/277 (3.2%) | 5/271 (1.8%) | |||
Rhinitis allergic | 1/115 (0.9%) | 6/277 (2.2%) | 2/271 (0.7%) | |||
Skin and subcutaneous tissue disorders | ||||||
Rash | 4/115 (3.5%) | 9/277 (3.2%) | 5/271 (1.8%) | |||
Dermatitis Contact | 1/115 (0.9%) | 6/277 (2.2%) | 2/271 (0.7%) | |||
Dry Skin | 3/115 (2.6%) | 2/277 (0.7%) | 2/271 (0.7%) | |||
Vascular disorders | ||||||
Hypertension | 11/115 (9.6%) | 27/277 (9.7%) | 22/271 (8.1%) |
Limitations/Caveats
More Information
Certain Agreements
Principal Investigators are NOT employed by the organization sponsoring the study.
GSK agreements may vary with individual investigators, but will not prohibit any investigator from publishing. GSK supports the publication of results from all centers of a multi-center trial but requests that reports based on single-site data not precede the primary publication of the entire clinical trial.
Results Point of Contact
Name/Title | GSK Response Center |
---|---|
Organization | GlaxoSmithKline |
Phone | 866-435-7343 |
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