BIOLOGICAL
albiglutide
albiglutide weekly subcutaneous injection + sitagliptin matching placebo
Status
Completed
Phase
Phase 3
Enrollment
507
Locations
218
Results
Posted
Publications
2
Study summary
This randomized, double-blind, active-controlled study evaluates the efficacy and safety of a weekly dose of albiglutide as compared with sitagliptin. Subjects who are renally impaired with a historical diagnosis of type 2 diabetes mellitus and whose glycemia is inadequately controlled on their current regimen of diet and exercise or their antidiabetic therapy of metformin, thiazolidinedione, sulfonylurea, or any combination of these oral antidiabetic medications will be recruited into the study.
This randomized, double-blind, active-controlled, 2 parallel-group, multicenter study evaluates the efficacy and safety of a weekly subcutaneously injected dose of albiglutide as compared with sitagliptin. Subjects who are renally impaired with a historical diagnosis of type 2 diabetes mellitus and whose glycemia is inadequately controlled on their current regimen of diet and exercise or their antidiabetic therapy of metformin, thiazolidinedione, sulfonylurea, or any combination of these oral antidiabetic medications will be recruited into the study.
Interventions
BIOLOGICAL
albiglutide weekly subcutaneous injection + sitagliptin matching placebo
DRUG
albiglutide matching placebo + sitagliptin (25mg, 50mg or 100mg depending on level of renal impairment)
Timeline
First posted
Apr 2, 2010
Study start
May 2010
Primary completion
Nov 2012
Study completion
Nov 2012
Results posted
May 16, 2014
Registry updated
Feb 28, 2017
Outcomes
Change From Baseline in Glycosylated Hemoglobin (HbA1c) at Week 26
Time frame · Baseline; Week 26
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 in HbA1c was calculated as the value at Week 26 minus the value at Baseline. The analysis was performed using an Analysis of Covariance (ANCOVA) model with treatment group, region, history of prior myocardial infarction (yes versus no), and age category (\<65 years versus \>=65 years) as factors and Baseline HbA1c as a continuous covariate. The last observation carried forward (LOCF) method was used to impute missing data, in which the last non-missing post-Baseline on-treatment measurement was used to impute the missing measurement. If a participant had missing observation(s) immediately after Baseline, the Baseline observation was not carried forward and was left as missing.
Mean Change From Baseline in HbA1c at Weeks 4, 8, 12, 16, and 20: LOCF
Time frame · Baseline; Weeks 4, 8, 12, 16, and 20
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 in HbA1c was calculated as the post-Baseline value minus the Baseline value. The LOCF method was used to impute missing data, in which the last non-missing post-Baseline on-treatment measurement was used to impute the missing measurement. If a participant had missing observation(s) immediately after Baseline, the Baseline observation was not carried forward and was left as missing. Participants were analyzed in a particular treatment week if they had received at least one dose in that treatment week.
Mean Change From Baseline in HbA1c at Weeks 4, 8, 12, 16, 20, 26, 36, 48, and Week 52: Observed Cases
Time frame · Baseline; Weeks 4, 8, 12, 16, 20, 26, 36, 48, and 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 Baseline HbA1c value is defined as the last non-missing value before the start of treatment. Change from Baseline in HbA1c was calculated as the post-Baseline value minus the Baseline value. The Observed Cases (OC) method (no imputation of missing data) was used. If a participant had missing observation(s) immediately after Baseline, the Baseline observation was not carried forward and was left as missing. Participants were analyzed in a particular treatment week if they had received at least one dose in that treatment week.
Change From Baseline in Fasting Plasma Glucose (FPG) at Week 26
Time frame · Baseline; Week 26
The FPG test measures blood sugar levels after the participant has not eaten (fasted) for 12 to 14 hours. The Baseline FPG value is define as the last non-missing value before the start of treatment. Change from Baseline in FBG was calculated as the post-Baseline value minus the Baseline value. The LOCF method was used to impute missing data, in which the last non-missing post-Baseline on-treatment measurement was used to impute the missing measurement. If a participant had missing observation(s) immediately after Baseline, the Baseline observation was not carried forward and was left as missing. Participants were analyzed in a particular treatment week if they had received at least one dose in that treatment week. Based on ANCOVA: Change = treatment + Baseline FPG + renal impairment + prior myocardial infarction history + age category + region.
Mean Change From Baseline in FPG at Weeks 4, 8, 12, 16, 20, and 26: LOCF
Time frame · Baseline; Weeks 4, 8, 12, 16, 20, and 26
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 in FBG was calculated as the post-Baseline value minus the Baseline value. The LOCF method was used to impute missing data, in which the last non-missing post-Baseline on-treatment measurement was used to impute the missing measurement. If a participant had missing observation(s) immediately after Baseline, the Baseline observation was not carried forward and was left as missing. Participants were analyzed in a particular treatment week if they had received at least one dose in that treatment week.
Mean Change From Baseline in Fasting Plasma Glucose (FPG) at Weeks 1, 2, 3, 4, 8, 12, 16, 20, 26, 36, 48, and Week 52: OC
Time frame · Baseline; Weeks 1, 2, 3, 4, 8, 12, 16, 20, 26, 36, 48, 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 defined as the last non-missing value prior to treatment. Change from Baseline in FBG was calculated as the post-Baseline value minus the Baseline value. The OC method (no imputation of missing data) was used. If a participant had missing observation(s) immediately after Baseline, the Baseline observation was not carried forward and was left as missing. Participants were analyzed in a particular treatment week if they had received at least one dose in that treatment week.
Number of Participants Who Achieved Clinically Meaningful HbA1c Response Levels of <6.5% and <7.0% at Week 26: LOCF
Time frame · Week 26
The number of participants who acheieved the HbA1c treatment goal (i.e., the number of participants who achieved HbA1c \<7% and \<6.5% at Week 26) was assessed. The LOCF method was used to impute missing data, in which the last non-missing post-Baseline on-treatment measurement was used to impute the missing measurement. If a participant had missing observation(s) immediately after Baseline, the Baseline observation was not carried forward and was left as missing.
Number of Participants Who Achieved a Clinically Meaningful Improvement in the HbA1c Response Level of >=1.0%, >=1.5%, and >=2.0% at Week 26: LOCF
Time frame · Week 26
The number of participants who a clinically meaningful improvement from Baseline in the HbA1c response level of \>=1.0%, \>=1.5%, and \>=2.0% at Week 26 were assessed. The LOCF method was used to impute missing data, in which the last non-missing post-Baseline on-treatment measurement was used to impute the missing measurement. If a participant had missing observation(s) immediately after Baseline, the Baseline observation was not carried forward and was left as missing.
Number of Participants Who Achieved a Clinically Meaningful HbA1c Response Level of <6.5% and <7.0% at Week 52: OC
Time frame · Week 52
The number of participants who acheieved the HbA1c treatment goal (i.e., number of participants who achieved HbA1c \<7% and \<6.5% at Week 26) was assessed. The OC method (no imputation of missing data) was used. If a participant had missing observation(s) immediately after Baseline, the Baseline observation was not carried forward and was left as missing.
Number of Participants Who Achieved a Clinically Meaningful Improvement in the HbA1c Response Level of >=1.0%, >=1.5%, and >=2.0% at Week 52: OC
Time frame · Week 52
The number of participants who a clinically meaningful improvement from Baseline in the HbA1c response level of \>=1.0%, \>=1.5%, and \>=2.0% at Week 52 assessed. The OC method (no imputation of missing data) was used. If a participant had missing observation(s) immediately after Baseline, the Baseline observation was not carried forward and was left as missing.
Number of Participants With the Indicated Time to Hyperglycemic Rescue Through Week 52
Time frame · Week 2 to Week 52
Hyperglycemic rescue was defined as meeting one of the following criteria, confirmed by a second sample drawn within 7 days and analyzed by the central laboratory: for the Week 2 to Week 4 visit, a single FPG value \>=280 milligrams per deciliter (mg/dL); for the \>Week 4 and \<Week 12 visits, a single FPG value \>=250 mg/dL and previous titration for \>=4 weeks; for the \>=Week 12 and \<Week 26 visits, HbA1c \>=8.5% and a \<=0.5% reduction from Baseline and previous titration for \>=4 weeks; for the \>=Week 26 and \<Week 48 visits, HbA1c \>=8.5% and previous titration for \>=4 weeks; for the \>=Week 48 and \<Week 52 visits, HbA1c \>=8.0% and previous titration for \>=4 weeks. Time to hyperglycemia rescue is the time between the date of first dose and the date of hyperglycemia rescue plus 1 day, or the time between the date of first dose and the date of last visit during active treatment period plus 1 day for participants not requiring rescue.
Eligibility
Inclusion Criteria: * Renally impaired with a historical diagnosis of type 2 diabetes mellitus and is experiencing inadequate glycemic control on their current regime of diet and exercise or their antidiabetic therapy of metformin, TZD, SU, or any combination of these oral antidiabetic medications * BMI \>/=20 kg/m2 and \</=45 kg/m2 * Fasting C-peptide \>/=0.8 ng/mL (\>/=0.26 nmol/L) * HbA1c between 7.0% and 10.0%, inclusive. Exclusion Criteria: * History of cancer * History of treated diabetic gastroparesis * Current biliary disease or history of pancreatitis * History of significant gastrointestinal surgery * Recent clinically significant cardiovascular and/or cerebrovascular disease * History of human immunodeficiency virus infection * Abnormal liver function or acute symptomatic infection with hepatitis B or hepatitis C * Female subject is pregnant (confirmed by laboratory testing), lactating, or \<6 weeks postpartum * Known allergy to any GLP 1 analogue, sitagliptin, other study medications' excipients, excipients of albiglutide, or Baker's yeast * Receipt of any investigational drug or sitagliptin within the 30 days or 5 half lives, whichever is longer, before Screening or a history of receipt of an investigational antidiabetic drug within the 3 months before randomization or receipt of albiglutide in previous studies
Study locations
Australia · Brazil · Colombia · Germany · India · Israel · Peru · Philippines · Russia · South Africa · South Korea · Spain · Taiwan · United Kingdom · United States. Showing up to 24 locations stored in the fast local snapshot.
GSK Investigational Site
Birmingham, Alabama, United States
GSK Investigational Site
Gulf Shores, Alabama, United States
GSK Investigational Site
Huntsville, Alabama, United States
GSK Investigational Site
Toney, Alabama, United States
GSK Investigational Site
Phoenix, Arizona, United States
GSK Investigational Site
Fresno, California, United States
GSK Investigational Site
Huntington Beach, California, United States
GSK Investigational Site
Los Angeles, California, United States
GSK Investigational Site
Los Angeles, California, United States
GSK Investigational Site
Los Angeles, California, United States
GSK Investigational Site
Los Gatos, California, United States
GSK Investigational Site
Orange, California, United States
GSK Investigational Site
San Diego, California, United States
GSK Investigational Site
San Diego, California, United States
GSK Investigational Site
San Dimas, California, United States
GSK Investigational Site
Tarzana, California, United States
GSK Investigational Site
West Hills, California, United States
GSK Investigational Site
Whittier, California, United States
GSK Investigational Site
Whittier, California, United States
GSK Investigational Site
Doral, Florida, United States
GSK Investigational Site
Hollywood, Florida, United States
GSK Investigational Site
Jacksonville, Florida, United States
GSK Investigational Site
Miami, Florida, United States
GSK Investigational Site
Miami Beach, Florida, United States
Publications
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