Current partner codePEPTIDESDE
NCT05114590·Phase 4·INTERVENTIONAL

Effect of Soliqua 100/33 on Time in Range From Continuous Glucose Monitoring in Insulin-naive Patients With Very Uncontrolled Type 2 Diabetes Mellitus

Status

Completed

Phase

Phase 4

Enrollment

124

Locations

18

Results

Posted

Publications

0

Study summary

What the protocol is testing.

The purpose of the study was to demonstrate if iGlarLixi (Soliqua 100/33) would improve glycemic control (as measured by Time in Range) and glycemic variability in participants with very uncontrolled (HbA1c ≥ 9%) type 2 Diabetes Mellitus (T2DM) while on at least 2 oral antidiabetic drugs \[OADs\] with or without a glucagon-like peptide 1 receptor agonist \[GLP1 RA\]), as measured by continuous glucose monitoring (CGM). The total study duration per participant was approximately 22 weeks. Three site visits, 3 site or home visits, and up to 13 phone contacts were scheduled. * A screening period of up to 2 weeks * A run-in period of up to 2 weeks, including the baseline period * A 16-week, open-label treatment period * A 2-week post-treatment safety follow-up period

Interventions

Treatment arms and agents.

DRUG

Insulin glargine/Lixisenatide

Solution for injection in a pre-filled pen by subcutaneous injection. Dose was individually titrated to achieve target fasting self-monitoring of plasma glucose (SMPG) of 80 to 100 milligrams per deciliter (mg/dL) (4.4 to 5.6 millimoles per liter \[mmol/L\]) while avoiding hypoglycemia.

Timeline

From registration to results.

  1. First posted

    Nov 10, 2021

  2. Study start

    Jan 27, 2022

  3. Primary completion

    Mar 28, 2023

  4. Study completion

    Apr 14, 2023

  5. Results posted

    May 24, 2024

  6. Registry updated

    Sep 9, 2025

Outcomes

What the study measures.

Primary outcomes

Change From Baseline to Week 16 in the Percentage of Time in Range [70 to 180 Milligram Per Deciliter (mg/dL)]

Time frame · Baseline (Days -14 to -1) and Week 16

The percentage of time spent in the glycemic target range of 70 to 180 mg/dL was calculated as 100 times the number of recorded measurements in the glycemic target range (70 to 180 mg/dL inclusive), divided by the total number of recorded measurements. Baseline is defined as the first 14 evaluable days of evaluable continuous glucose monitoring (CGM) data prior to first day of treatment. CGM compliance is defined as 1) at least 8 out of 14 days (not necessarily consecutive) have 100% of evaluable CGM data per 24-hour period (at least 8 days with 96 records minimum per day) OR 2) at least 9 out of 14 days (not necessarily consecutive) have ≥89% of evaluable CGM data per 24-hour period (at least 9 days with 85 records minimum per day) OR 3) at least 10 out of 14 days (not necessarily consecutive) have at least ≥80% of evaluable CGM data per 24 hour period (at least 10 days with 77 records minimum per day).

Secondary outcomes

Percent Change From Baseline to Week 16 in Glucose Total Coefficient of Variation (CV)

Time frame · Baseline (Days -14 to -1) and Week 16

Glucose total CV was calculated by following: standard deviation glucose/mean glucose over 14 days x 100, and the percent change was reported. Baseline is defined as the first 14 evaluable days of evaluable CGM data prior to first day of treatment.

Change From Baseline to Week 16 in Mean Daily Blood Glucose

Time frame · Baseline (Days -14 to -1) and Week 16

A global average was computed to determine the average of the mean daily blood glucose for the 14 days at baseline and Week 16. Baseline is defined as the first 14 evaluable days of evaluable CGM data prior to first day of treatment.

Change From Baseline to Week 16 in the Maximum Postprandial Glucose Exposure in the 4 Hours Post-Breakfast Meal

Time frame · Baseline (Days -14 to -1) and Week 16

The analysis was focused on the 4-hour interval at both baseline and Week 16 from t=0 (the timepoint at which glucose measurement was taken immediately preceding liquid meal administration) throughout the subsequent 4 hours. For each participant, the overall maximum glucose value within the described 4-hour period was determined, and the difference between the maximum glucose value at baseline and Week 16 was reported. Baseline is defined as the first 14 evaluable days of evaluable CGM data prior to first day of treatment.

Change From Baseline to Week 16 in Time Above Range (>180 mg/dL)

Time frame · Baseline (Days -14 to -1) and Week 16

The time spent above the glycemic target range was calculated as 100 times the total number of 15-minute increments of CGM data where a participant's blood glucose falls above normal range (\>180 mg/dL) at baseline, divided by the total number of 15-minute increments read (i.e., up to 1344 15-minute increments) at Week 16. This was calculated for baseline and Week 16 and the change was reported. Baseline is defined as the first 14 evaluable days of evaluable CGM data prior to first day of treatment.

Percentage of Participants Who Achieved Coefficient of Variation <36%

Time frame · Week 16

Percentage of participants achieving CV \<36% was calculated as sum of the number of participants with CV \<36% divided by the total number of participants. The endpoint was calculated using all CGM glucose readings available throughout each day for 2 weeks (Week 14-16).

Change From Baseline to Week 16 in Time in Range Per Time Blocks

Time frame · Baseline (Days -14 to -1) and Week 16

Time spent in the glycemic target range (70 to 180 mg/dL) was calculated as 100 times the number of recorded measurements in the glycemic target range (70 to 180 mg/dL inclusive), divided by the total number of recorded measurements per time block and comparing the corresponding time blocks from Week 16 to baseline. The time blocks are 12 am to 6 am, 6 am to 12 pm, 12 pm to 6 pm, 6 pm to 12 am, and 6 am to 12 am. Baseline is defined as the first 14 evaluable days of evaluable CGM data prior to first day of treatment.

Percentage of Participants Who Achieved Glucose Management Indicator (GMI) <7% and <9%

Time frame · Week 16

The GMI was calculated as 3.31 + 0.02392 x (mean glucose in mg/dL from CGM data). The GMI was calculated by determining the number of participants who achieved \<7% and \<9% at Week 16.

Change From Baseline to Week 16 in the 4-Hour Postprandial Glucose Area Under the Concentration Time Curve From 0 to 4 Hours

Time frame · Baseline (Days -14 to -1) and Week 16

Blood samples were collected to measure the glucose values up to 4-hour after the breakfast meal. The analysis was based on a liquid meal at both baseline and Week 16 (a liquid meal administered in a fasted state and blood glucose is measured at specific time points up to 4 hours). Baseline is defined as the time period prior to administration of study drug.

Change From Baseline to Week 16 in Time to Reach Maximum Postprandial Glucose Concentration

Time frame · Baseline (Days -14 to -1) and Week 16

Blood samples were collected at specific intervals over a 4 hour period to measure blood glucose values following ingestion of a liquid meal and the process is repeated after 16 weeks of study drug administration following another liquid meal administration and blood glucose values measured at specific time points over 4 hours. The difference in the time to reach the maximal blood glucose value was then calculated between these two timepoints.

Percentage of Participants Who Spent <15 Minutes/Day at a Glucose Level <54 mg/dL

Time frame · Week 16

Blood glucose level was determined based upon CGM data. Percentage of participants with glucose level \<54 mg/dL for less than 15 minutes per day are reported.

Eligibility

Who can take part.

Minimum age
18 Years
Maximum age
Not reported
Sex
ALL
Healthy volunteers
No

Inclusion Criteria: * Diagnosed with Type 2 Diabetes mellitus (T2DM) for at least 6 months before the baseline period * HbA1c ≥9-13% during the run-in period * On at least 2 OADs with or without GLP-1 RA with stable doses (for both) for 3 months prior to the screening period * Willing and able to wear the CGM device continuously for 14 days to capture CGM measures at baseline until the next site visit and again towards the end of the treatment period * Willing and able to prick fingers a minimum of 2-4 times per week utilizing sterile lancets provided along with a manual blood glucose meter kit * Willing to discontinue the daily (oral or injectable) or weekly GLP-1 RA or DPP 4i prior to administration of iGlarLixi (Soliqua 100/33) * Willing and able to inject iGlarLixi (Soliqua 100/33) and increase dose as needed to achieve SMPG target * Non-pregnant, non-breastfeeding women utilizing a highly-effective contraceptive method or of non-childbearing potential Exclusion Criteria: * Type1 Diabetes mellitus (T1DM) or any other types of diabetes, except T2DM * On meglitinides (eg, nateglinide, repaglinide) * Body mass index (BMI) \>40 kg/m² during the screening period * Any current or previous skin conditions, including (but not limited to) severe psoriasis, burns, eczema, scarring, excessive tattoos, that would inhibit the proper wearing of the CGM device * History of severe nausea and vomiting leading to subsequent discontinuation of GLP-1 RA * Known history or presence of clinically significant pancreatitis or gastroparesis * Participants with an episode of severe hypoglycemia or with hypoglycemia unawareness (defined as the onset of neuroglycopenia before the appearance of autonomic warning symptoms \[for example, blurred vision, difficulty speaking, feeling faint, difficulty thinking, and confusion\] or as the failure to sense a significant fall in blood glucose below normal levels) diagnosed within the 6 months prior to the screening period * Participants with personal or immediate family history of medullary thyroid cancer (MTC) or genetic conditions that predisposed to MTC (eg, multiple endocrine neoplasia syndromes) * Significant current (within past 2 months) and/or expected use of medications known to affect glycemia (eg, ≥5 mg/day prednisone) * Use of substances known to interfere with CGM readings, such as aspirin-containing products (\>650 mg/day of salicylic acid) or supplements containing vitamin C (\>1000 mg/day of ascorbic acid) during the 14 days of CGM at either baseline or end of treatment period * Previous treatment with any insulin (except for short term treatment due to intercurrent illness, including gestational diabetes, at the discretion of the investigator) * Had used weight loss drugs (including over the counter and herbal medications) within 12 weeks before the screening visit The above information was not intended to contain all considerations relevant to a potential participation in a clinical trial

Study locations

18 registered sites.

United States. Showing up to 24 locations stored in the fast local snapshot.

Clearview Medical Research LLC-Site Number:8400003

Canyon Country, California, United States

National Research Institute - ClinEdge - PPDS-Site Number:8400004

Huntington Park, California, United States

National Research Institute - ClinEdge - PPDS-Site Number:8400009

Huntington Park, California, United States

Torrance Clinical Research Institute-Site Number:8400008

Lomita, California, United States

Downtown LA Research Center Inc - ClinEdge - PPDS-Site Number:8400001

Los Angeles, California, United States

University Clinical Investigators Inc-Site Number:8400020

Tustin, California, United States

San Fernando Valley Health Institute - ClinEdge - PPDS-Site Number:8400012

West Hills, California, United States

Premier Research Associate-Miami-Site Number:8400002

Miami, Florida, United States

Floridian Research Institute-Site Number:8400013

Miami, Florida, United States

Palm Research Center, Inc.-Site Number:8400005

Las Vegas, Nevada, United States

Hassman Research Institute - HRI - Berlin - CenExel - PPDS-Site Number:8400007

Berlin, New Jersey, United States

Mid Hudson Medical Research PLLC-Site Number:8400014

New Windsor, New York, United States

Endocrinology Associates Inc-Site Number:8400011

Columbus, Ohio, United States

University of Tennessee Health Science Center-Site Number:8400017

Memphis, Tennessee, United States

University of Texas Southwestern Medical Center-Site Number:8400018

Dallas, Texas, United States

Flourish Research - San Antonio - PPDS-Site Number:8400006

San Antonio, Texas, United States

Northeast Clinical Research of San Antonio LLC-Site Number:8400019

Schertz, Texas, United States

Consano Clinical Research LLC-Site Number:8400010

Shavano Park, Texas, United States

Publications

Results and literature.

No PMID-linked publications were present in this registry snapshot.

Primary links

Continue at the source.

Related trials

More studies on Lixisenatide.

Related PeptideStat pages

Put the record in context.

Research pages describe evidence. Vendor pages, where available, describe independently tracked research-product listings and are not clinical recommendations.