BIOLOGICAL
Albiglutide 30 mg
Once weekly subcutaneous injection. Starting dose 30 mg may be increased to 50 mg if needed.
Status
Completed
Phase
Phase 4
Enrollment
9,463
Locations
607
Results
Posted
Publications
7
Study summary
Albiglutide is an analogue of glucagon-like peptide-1 (GLP-1), used to treat type 2 diabetes This study will test whether albiglutide affects the occurrence of major cardiovascular events such as heart attacks or strokes and other important medical outcomes in persons with type 2 diabetes, when used alone or added to other diabetes treatments.
Interventions
BIOLOGICAL
Once weekly subcutaneous injection. Starting dose 30 mg may be increased to 50 mg if needed.
BIOLOGICAL
Once weekly subcutaneous injection. Starting dose 30 mg may be increased to 50 mg if needed.
BIOLOGICAL
Once weekly subcutaneous injection. Matched to 30 mg and 50 mg albiglutide.
Timeline
First posted
Jun 8, 2015
Study start
Jul 1, 2015
Primary completion
Feb 20, 2018
Study completion
Mar 14, 2018
Results posted
Mar 6, 2019
Registry updated
Mar 6, 2019
Outcomes
Time to First Occurrence of Major Adverse Cardiovascular Events (MACE) During Cardiovascular (CV) Follow-up Time Period
Time frame · Median of 1.65 person years for CV follow-up time period
Time to MACE defined as the time to first occurrence of Cardiovascular Endpoint Committee (CEC)-adjudicated MACE (CV death, myocardial infarction \[MI\] or stroke) was analyzed using a Cox Proportional Hazards regression model with treatment group as the only covariate. The incidence rate per 100 person years (100\*number of participants with at least 1 event)/first event person-years) is presented along with 95% confidence interval. First event person-years=(cumulative total time to first event for participants who have the event+cumulative total of censored time for participants without the event)/365.25, based on the CV follow-up time period. The analysis was performed on the Intent to Treat (ITT) Population which comprised of all randomized participants excluding participants who did not provide consent.
Time to First Occurrence of MACE or Urgent Revascularization for Unstable Angina
Time frame · Median of 1.65 person years for CV follow-up time period
Time to first occurrence of CEC-adjudicated MACE (CV death, MI or stroke) or urgent revascularization for unstable angina was analyzed using a Cox Proportional Hazards regression model with treatment group as the only covariate. The incidence rate per 100 person years (100\*number of participants with at least 1 event)/first event person-years) is presented along with 95% confidence interval. First event person-years=(cumulative total time to first event for participants who have the event+cumulative total of censored time for participants without the event)/365.25, based on the CV follow-up time period.
Time to Adjudicated CV Death
Time frame · Median of 1.65 person years for the CV follow-up time period
Time to adjudicated CV death was analyzed using a Cox Proportional Hazards regression model with treatment group as the only covariate. The incidence rate per 100 person years (100\*number of participants with at least 1 event)/first event person-years) is presented along with 95% confidence interval. First event person-years=(cumulative total time to first event for participants who have the event+cumulative total of censored time for participants without the event)/365.25, based on the CV follow-up time period.
Time to First Occurrence of Adjudicated MI
Time frame · Median of 1.65 person years for CV follow-up time period
Time to first occurrence of adjudicated MI was analyzed using a Cox Proportional Hazards regression model with treatment group as the only covariate. The incidence rate per 100 person years (100\*number of participants with at least 1 event)/first event person-years) is presented along with 95% confidence interval. First event person-years=(cumulative total time to first event for participants who have the event+cumulative total of censored time for participants without the event)/365.25, based on the CV follow-up time period.
Time to First Occurrence of Adjudicated Stroke
Time frame · Median of 1.65 person years for CV follow-up time period
Time to first occurrence of adjudicated stroke was analyzed using a Cox Proportional Hazards regression model with treatment group as the only covariate. The incidence rate per 100 person years (100\*number of participants with at least 1 event)/first event person-years) is presented along with 95% confidence interval. First event person-years=(cumulative total time to first event for participants who have the event+cumulative total of censored time for participants without the event)/365.25, based on the CV follow-up time period.
Time to First Occurrence of Adjudicated CV Death or Hospitalization for Heart Failure (HF)
Time frame · Median of 1.65 person years for CV follow-up time period
Time to first occurrence of adjudicated CV death or hospitalization for HF was analyzed using a Cox Proportional Hazards regression model with treatment group as the only covariate. The incidence rate per 100 person years (100\*number of participants with at least 1 event)/first event person-years) is presented along with 95% confidence interval. First event person-years=(cumulative total time to first event for participants who have the event+cumulative total of censored time for participants without the event)/365.25, based on the CV follow-up time period.
Time to Initiation of Insulin of More Than 3 Months Duration for Those Participants Not Treated With Insulin at Study Start
Time frame · Up to 2.7 years
Time to initiation of insulin of more than 3 months duration in participants not treated with insulin at study start was analyzed using a Cox Proportional Hazards regression model with treatment group as the only covariate. The incidence rate per 100 person years (100\*number of participants with at least 1 event)/first event person-years) is presented along with 95% confidence interval. First event person-years=(cumulative total time to first event for participants who have the event+cumulative total of censored time for participants without the event)/365.25, based on the on-therapy and post-therapy AE time period. The analysis was performed on Non-Insulin Population which comprised of participants in the ITT Population who were not on insulin at Baseline.
Time to Initiation of Prandial Insulin in Those Participants on Basal Insulin at Study Start
Time frame · Up to 2.7 years
Time to initiation of prandial insulin in those participants on basal insulin at study start was analyzed using a Cox Proportional Hazards regression model with treatment group as the only covariate. The incidence rate per 100 person years (100\*number of participants with at least 1 event)/first event person-years) is presented along with 95% confidence interval. First event person-years=(cumulative total time to first event for participants who have the event+cumulative total of censored time for participants without the event)/365.25, based on the on-therapy and post-therapy AE time period. The analysis was performed on Basal Insulin Population which comprised of participants in the ITT Population who were on basal insulin but not on other insulin at Baseline (i.e., will not include a participant on a mixed insulin or on a prandial-only insulin).
Percentage of Participants Achieving Composite Metabolic Endpoint
Time frame · Months 8, 16, 24 and final assessment (up to 2.7 years)
Percentage of participants achieving composite metabolic endpoint defined as the percentage of participants achieving glycemic control (glycated hemoglobin \[HbA1c\] \<=7% ) with no severe hypoglycemic incidents and weight gain \< 5%. Final Assessment is the latest post-Baseline assessment of both HbA1c and weight.
Time to First Occurrence of a Clinically Important Microvascular Event
Time frame · Up to 2.7 years
Clinically important microvascular events were defined as the following: need for renal transplant or dialysis, new diabetes-related blindness, and procedures (laser photocoagulation or anti-vascular endothelial growth factor treatment or vitrectomy for diabetic retinopathy/eye disease). Time to first occurrence of a clinically important microvascular event was analyzed using a Cox Proportional Hazards regression model with treatment group as the only covariate. The incidence rate per 100 person years (100\*number of participants with at least 1 event)/first event person-years) is presented along with 95% confidence interval. First event person-years=(cumulative total time to first event for participants who have the event+cumulative total of censored time for participants without the event)/365.25, based on the on-therapy and post-therapy AE time period.
Change From Baseline in HbA1c
Time frame · Baseline and Months 8 and 16
Change from Baseline in HbA1c was analyzed using mixed model repeated measures (MMRM) including observed case data (does not impute any missing data). Baseline is the last non-missing value assessed on or before treatment start date. Change from Baseline is the value at specified time point minus the Baseline value. Change from Baseline in HbA1c using Baseline data from Local or Central Laboratory, and post-Baseline Central Laboratory data is presented.
Eligibility
Inclusion Criteria: * Men or women at least 40 years old. Women must be post-menopausal or using a highly effective method for avoidance of pregnancy. * Diagnosis of type 2 diabetes. * Established cardiovascular disease with at least one of the following: coronary artery disease, cerebrovascular disease, or peripheral arterial disease. * HbA1c \>7.0% (53 mmol/mol) (based on the most recent documented laboratory measurement within 6 months). * Able and willing to provide informed consent. Exclusion Criteria: * Severely reduced kidney function: eGFR \<30 ml/min/1.73 m\^2 (based on the last measured and documented laboratory measurement within 6 months) or renal replacement therapy. * Use of a GLP-1 receptor agonist at Screening. * Severe gastroparesis * History of pancreatitis or considered clinically at significant risk of developing pancreatitis during the course of the study. * Personal or family history of medullary carcinoma of the thyroid or subject with multiple endocrine neoplasia type 2 (MEN-2). Personal history of pancreatic neuroendocrine tumours. * Medical history which might limit the subject's ability to take trial treatments for the duration of the study or to otherwise complete the study. * Breastfeeding, pregnancy, or planning a pregnancy during the course of the study. Note: a pregnancy test will be performed on all women of child bearing potential prior to study entry. * Known allergy to any GLP-1 receptor agonist or excipients of albiglutide. * Use of another investigational product within 30 days or according to local regulations, or currently enrolled in a study of an investigational device. * Any other reason the investigator deems the subject to be unsuitable for the study.
Study locations
Argentina · Belgium · Bulgaria · Canada · Czechia · Denmark · France · Germany · Greece · Hong Kong · Hungary · Italy · Mexico · Netherlands · Norway · Peru · Philippines · Poland · Russia · South Africa · South Korea · Spain · Sweden · Taiwan · Thailand · Ukraine · 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
Birmingham, Alabama, United States
GSK Investigational Site
Mobile, Alabama, United States
GSK Investigational Site
Chandler, Arizona, United States
GSK Investigational Site
Glendale, Arizona, United States
GSK Investigational Site
Goodyear, Arizona, United States
GSK Investigational Site
Tempe, Arizona, United States
GSK Investigational Site
Tucson, Arizona, United States
GSK Investigational Site
Tucson, Arizona, United States
GSK Investigational Site
Little Rock, Arkansas, United States
GSK Investigational Site
Searcy, Arkansas, United States
GSK Investigational Site
Chula Vista, California, United States
GSK Investigational Site
Lancaster, California, United States
GSK Investigational Site
Lomita, California, United States
GSK Investigational Site
Long Beach, California, United States
GSK Investigational Site
Long Beach, California, United States
GSK Investigational Site
Los Angeles, California, United States
GSK Investigational Site
Los Angeles, California, United States
GSK Investigational Site
Moreno Valley, California, United States
GSK Investigational Site
Northridge, California, United States
GSK Investigational Site
Oakland, California, United States
GSK Investigational Site
San Diego, California, United States
GSK Investigational Site
San Diego, California, United States
GSK Investigational Site
San Marino, California, United States
Publications
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