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Efficacy and safety of liraglutide in combination with metformin compared to metformin alone, in children and adolescents with type 2 diabetes.

Phase 1
Conditions
Diabetes Mellitus, Type 2
MedDRA version: 18.0Level: LLTClassification code 10045242Term: Type II diabetes mellitusSystem Organ Class: 100000004861
Therapeutic area: Diseases [C] - Nutritional and Metabolic Diseases [C18]
Registration Number
EUCTR2011-002605-29-AT
Lead Sponsor
ovo Nordisk A/S
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
ot Recruiting
Sex
All
Target Recruitment
150
Inclusion Criteria

-Children and adolescents between the ages of 10–16 years. Subjects cannot turn 17 years and 11 months before the end of treatment (52 weeks)
-Diagnosis of type 2 diabetes mellitus and treated for at least 30 days with:
-diet and exercise alone
-diet and exercise in combination with metformin monotherapy
-diet and exercise in combination with metformin and a stable* dose of basal insulin
*Stable is defined as basal insulin adjustments up to 15%
- HbA1c
- =7.0% and =11% if diet and exercise treated
- =6.5% and =11% if treated with metformin as monotherapy, basal insulin as monotherapy or metformin and basal insulin in combination
- Body mass index (BMI) >85% percentile of the general age and gender matched population
Are the trial subjects under 18? yes
Number of subjects for this age range: 150
F.1.2 Adults (18-64 years) no
F.1.2.1 Number of subjects for this age range
F.1.3 Elderly (>=65 years) no
F.1.3.1 Number of subjects for this age range

Exclusion Criteria

- Type 1 diabetes
- Maturity onset diabetes of the young (MODY)
- Use of any antidiabetic agent other than metformin and/or basal insulin within 90 days prior to screening. Short term treatment with insulin is allowed
- Recurrent severe hypoglycaemia or hypoglycaemic unawareness as judged by the investigator
- History of chronic pancreatitis or idiopathic acute pancreatitis
- Any clinically significant disorder, except for conditions associated with type 2 diabetes history which in the investigator’s opinion could interfere with results of the trial
- Uncontrolled hypertension, treated or untreated >99th percentile for age and gender in children
- Known or suspected abuse of alcohol or narcotics

Study & Design

Study Type
Interventional clinical trial of medicinal product
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Main Objective: To confirm the superiority of liraglutide at the maximum tolerated dose (0.6 mg, 1.2 mg, 1.8 mg) versus placebo when added to in combination with metformin with or without basal insulin treatment in controlling glycaemia versus metformin and liraglutide placebo in children and adolescents (ages 10–17 years) with type 2 diabetes.;Secondary Objective: To assess and compare the effect of liraglutide versus placebo in combination with metformin with or without basal insulin treatment.;Primary end point(s): Change in HbA1c ;Timepoint(s) of evaluation of this end point: From baseline to week 26
Secondary Outcome Measures
NameTimeMethod
Secondary end point(s): 1. HbA1c <7.0% (yes/no)<br>2. HbA1c =6.5% (yes/no)<br>3. HbA1c <7.0% without severe or minor hypoglycaemic episodes (yes/no)<br><br>Change from baseline:<br>4. Fasting plasma glucose (FPG)<br>5. 7-point self-measured plasma glucose<br>6. body weight<br>7. BMI standard deviation score (SDS)<br><br>Safety <br>8. Adverse events (AEs) and serious adverse events (SAEs)<br>9. Safety follow-up after 1 and 2 years: AEs and SAEs, growth velocity and pubertal progression;Timepoint(s) of evaluation of this end point: 1-7: at 26 and 52 weeks of treatment<br>8-9: After 53 weeks, and after 1 and 2 years after LPLV
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