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Note: This record shows only 22 elements of the WHO Trial Registration Data Set. To view changes that have been made to the source record, or for additional information about this trial, click on the URL below to go to the source record in the primary register.
Register: EUCTR
Last refreshed on: 4 August 2015
Main ID:  EUCTR2014-001969-27-HU
Date of registration: 01/10/2014
Prospective Registration: Yes
Primary sponsor: GlaxoSmithKline Research & Development Limited
Public title: Albiglutide Versus Placebo as Add-on to Intensified Basal-Bolus Insulin Therapy in Patients With Type 2 Diabetes Mellitus
Scientific title: Albiglutide Versus Placebo as Add-on to Intensified Basal-Bolus Insulin Therapy in Subjects With Type 2 Diabetes Mellitus
Date of first enrolment: 19/11/2014
Target sample size: 450
Recruitment status: Not Recruiting
URL:  https://www.clinicaltrialsregister.eu/ctr-search/search?query=eudract_number:2014-001969-27
Study type:  Interventional clinical trial of medicinal product
Study design:  Controlled: yes Randomised: yes Open: no Single blind: no Double blind: yes Parallel group: yes Cross over: no Other: no If controlled, specify comparator, Other Medicinial Product: no Placebo: yes Other: no Number of treatment arms in the trial: 2  
Phase: 
Countries of recruitment
Brazil Canada France Germany Hungary Italy Korea, Republic of Mexico
Philippines Poland South Africa Spain United Kingdom United States
Contacts
Name: Alex H West   
Address:  1-3, Iron Bridge Road. Stockley Park West UB11 1BU Uxbridge Middlesex United Kingdom
Telephone: +442089903877
Email: alex.h.west@gsk.com
Affiliation:  GlaxoSmithKline Research & Development Limited
Name: Alex H West   
Address:  1-3, Iron Bridge Road. Stockley Park West UB11 1BU Uxbridge Middlesex United Kingdom
Telephone: +442089903877
Email: alex.h.west@gsk.com
Affiliation:  GlaxoSmithKline Research & Development Limited
Key inclusion & exclusion criteria
Inclusion criteria:
Subjects eligible for enrollment in the study must meet all of the following criteria:

1. Male or female, 18 years of age or older (inclusive at the time of Screening) with T2DM.

2. HbA1c =7.5% and =10.0% at Screening. If the first screening HbA1c does not meet the eligibility criterion, the HbA1c value may be checked up to 2 times during Screening, and if the average of these determinations meets the criterion, the subject can be randomly assigned to treatment.

3. Currently treated with a basal-bolus insulin regimen (with or without metformin) for at least 3 months before Screening. The subject must be taking the following:

•Basal insulin (1 or 2 daily injections of neutral protamine Hagedorn insulin, insulin glargine, insulin detemir, or insulin degludec)
AND
•Bolus insulin (at least 2 injections of regular insulin, insulin glulisine, insulin
aspart, or insulin lispro)
•In addition, the total daily dose of insulin must be =150 units
•If taking metformin, a stable dose for at least 8 weeks before Screening

Note: Subject should not have received any other antidiabetic medication within 30 days before Screening (e.g., GLP-1R agonist, dipeptidyl peptidase-IV inhibitor, SU, or thiazolidinedione). Subjects receiving commercially available premixed basal and prandial insulin are not eligible for this study.

4. Body mass index =40 kg/m2.

5. Thyroid-stimulating hormone (TSH) level is normal or clinically euthyroid as demonstrated by further thyroid tests (e.g., free T4 ).

6. Female subjects of childbearing potential (i.e., not surgically sterile and/or not postmenopausal) must be practicing adequate contraception (as defined below) for the duration of participation in the study including the 4-week Posttreatment Follow-up Period.

•Abstinence from penile-vaginal intercourse, when this is the female’s preferred and usual lifestyle
•Oral contraceptive, either combined or progestogen alone
•Injectable progestogen
•Implants of etonogestrel or levonorgestrel
•Estrogenic vaginal ring
•Percutaneous contraceptive patches
•Intrauterine device or intrauterine system that has a failure rate of less than 1% per year when used consistently and correctly as stated in the product label
•Male partner sterilization prior to the female subject’s entry into the study, and this male is the sole partner for that subject. The information on the male sterility can come from the site personnel’s review of subject’s medical records, medical examination of the subject and/or semen analysis, or interview with the subject on his medical history.
•Male condom combined with a female diaphragm, either with or without a vaginal spermicide (foam, gel, film, cream, or suppository)

7. Willing and able to comply with all study procedures including intensive insulin administration and performance of frequent SMBG profiles according to the protocol.

8. Able and willing to provide written informed consent.

Are the trial subjects under 18? no
Number of subjects for this age range:
F.1.2 Adults (18-64 years) yes
F.1.2.1 Number of subjects for this age range 360
F.1.3 Elderly (>=65 years) yes
F.1.3.1 Number of subjects for this age range 90

Exclusion criteria:
Subjects meeting any of the following criteria must not be enrolled in the study:

1.Type 1 diabetes mellitus

2.History of cancer that has not been in full remission for at least 3 years before Screening. (A history of squamous cell or basal cell carcinoma of the skin or treated cervical intra-epithelial neoplasia I or II is allowed)

3. Personal or family history of medullary thyroid carcinoma or multiple endocrine neoplasia type 2

4. Current symptomatic biliary disease or history of acute or chronic pancreatitis

5. Severe gastroparesis, i.e., requiring regular therapy within 6 months before Screening

6. History of significant GI surgery that in the opinion of the investigator is likely to significantly affect upper GI or pancreatic function (e.g., gastric bypass and banding, antrectomy, Roux-en-Y bypass, gastric vagotomy, small bowel resection, or surgeries thought to significantly affect upper GI function)

7. History of severe hypoglycemia unawareness

8. Diabetic complications (e.g., active proliferative retinopathy or severe diabetic neuropathy) or any other clinically significant abnormality (including a psychiatric disorder) that, in the opinion of the investigator, may pose additional risk in administering the investigational product

9. Clinically significant CV and/or cerebrovascular disease within 3 months before Screening including, but not limited to, the following:

•Stroke or transient ischemic attack
•Acute coronary syndrome (myocardial infarction [MI] or unstable angina not responsive to nitroglycerin)
•Cardiac surgery or percutaneous coronary procedure
•Current or history of heart failure (New York Heart Association class III or IV)

10. Alanine aminotransferase (ALT) >2.5 × upper limit of normal (ULN) or bilirubin >1.5 × ULN (isolated bilirubin >1.5 × ULN is acceptable if bilirubin is fractionated and direct bilirubin <35%).

11. Unstable liver disease (as defined by the presence of ascites, encephalopathy, coagulopathy, hypoalbuminemia, esophageal or gastric varices, or persistent jaundice), cirrhosis, known biliary abnormalities (with the exception of Gilbert’s syndrome or asymptomatic gallstones). (Chronic stable hepatitis B and C are acceptable if subject otherwise meets entry criteria and is not on active antiviral treatment [e.g., presence of hepatitis B surface antigen or positive hepatitis C test result within 3 months of Screening]).

12. Hemoglobin <11 g/dL (<110 g/L) for male subjects and <10 g/dL (<100 g/L) for female subjects at Screening.

13. Estimated glomerular filtration rate (eGFR) =30 mL/min/1.73 m2 (calculated using the Modification of Diet in Renal Disease [MDRD] formula) at Screening Note: As the use of metformin in subjects with varying degrees of renal function may differ from country to country, use of metformin should be in accordance with the metformin product label within the participating country.

14. Fasting triglyceride level >750 mg/dL at Screening.

15. Hemoglobinopathy that may affect proper interpretation of HbA1c.

16. Known allergy to albiglutide or any product components (including yeast and human albumin), any other GLP-1 analogue, insulin, or other study medication’s excipients OR other contraindications (per the prescribing information) for the use of potential study medications (e.g., basal-bolus insulin).

17. Use of oral or systemically injected glucocorticoids within the 3 months before randomization or high likelihood of a requirement for prolonged treatment (>1 we


Age minimum:
Age maximum:
Gender:
Female: yes
Male: yes
Health Condition(s) or Problem(s) studied
Therapeutic area: Diseases [C] - Nutritional and Metabolic Diseases [C18]
Diabetes mellitus type 2
MedDRA version: 17.0 Level: LLT Classification code 10045242 Term: Type II diabetes mellitus System Organ Class: 100000004861
Intervention(s)

Trade Name: Eperzan
Product Name: Albiglutide
Product Code: GSK716155
Pharmaceutical Form: Powder and solvent for solution for injection
INN or Proposed INN: Eperzan
CAS Number: 782500-75-8
Other descriptive name: ALBIGLUTIDE
Concentration unit: mg milligram(s)
Concentration type: range
Concentration number: 30-50
Pharmaceutical form of the placebo: Powder and solvent for solution for injection
Route of administration of the placebo: Subcutaneous use

Primary Outcome(s)
Main Objective: To evaluate the efficacy of once-weekly albiglutide in providing similar (or better)
glycemic control with less hypoglycemia when added to a regimen of intensified
basal-bolus insulin therapy compared with intensified basal-bolus insulin therapy alone in subjects with T2DM.
Timepoint(s) of evaluation of this end point: Week 26
Primary end point(s): - Percentage of subjects with severe or documented symptomatic hypoglycemia
through Week 26 (superiority of albiglutide + intensified basal-bolus insulin versus placebo + intensified basal-bolus insulin).

- Change from Baseline in HbA1c at Week 26 (noninferiority of albiglutide + intensified basal-bolus insulin versus placebo + intensified basal-bolus insulin).
Secondary Objective: To demonstrate a significant difference in body weight between treatment groups

To demonstrate a significant reduction in total daily dose of insulin between treatment groups.
Secondary Outcome(s)
Secondary end point(s): - Change from Baseline in body weight at Week 26 and over time.
- Total daily insulin dose at Week 26.
Timepoint(s) of evaluation of this end point: Week 26
Secondary ID(s)
GLP111892
Source(s) of Monetary Support
GlaxoSmithKline Research & Development Limited
Secondary Sponsor(s)
Ethics review
Results
Results available:
Date Posted:
Date Completed:
URL:
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