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A Study of Dulaglutide (LY2189265) in Participants With Type 2 Diabetes Mellitus in India

Phase 4
Completed
Conditions
Diabetes Mellitus, Type 2
Interventions
Registration Number
NCT05659537
Lead Sponsor
Eli Lilly and Company
Brief Summary

The main purpose of this study is to evaluate safety of dulaglutide in participants with type 2 diabetes mellitus in India.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
212
Inclusion Criteria
  • Have a diagnosis of type 2 diabetes mellitus (T2DM) of at least 1-year duration currently treated with stable doses of oral antihyperglycemic medications with or without stable doses of basal or premix insulin for the last 3 months prior to screening
  • Have hemoglobin A1c (HbA1c) greater than or equal to (≥) 7.5 percent (%) and less than or equal to (≤) 11.5%, both inclusive, at screening
  • Have body mass index (BMI) ≥ 23 kilogram/square meter (kg/m²)
Exclusion Criteria
  • A diagnosis of type 1 diabetes mellitus (T1DM) or latent autoimmune diabetes, or specific type of diabetes other than T2DM
  • Been treated with antihyperglycemic medication like glucagon-like peptide receptor agonists (GLP-1 RA) or have a prior history of any contraindication to GLP-1 RA therapy within 3 months prior to screening or estimated glomerular filtration rate (eGFR) <15 milliliter/minute (ml/min)/1.73 square meter (m²)
  • Participants have known hypersensitivity or allergy to dulaglutide or its excipients
  • Participants are on systemic steroids for any period of more than 14 days
  • Participants have severe gastrointestinal (GI) disease, including severe gastroparesis
  • Participants have an active or untreated malignancy, except for successfully treated basal or squamous cell carcinoma

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
DulaglutideDulaglutide* Participants received once-weekly (QW) subcutaneous (SC) dulaglutide injections for 24 weeks, starting with either 1.5 milligrams (mg) as combination therapy or 0.75 mg as combination therapy or monotherapy (at the discretion of the investigator). * For participants reporting gastrointestinal adverse events (GI AEs) after starting the 1.5 mg dulaglutide dose, the investigator reduced the dose to 0.75 mg for 2 to 3 weeks. Thereafter, the 1.5 mg dose was reintroduced.
Primary Outcome Measures
NameTimeMethod
Number of Participants With One or More Adverse Events (AEs) - Treatment Emergent Adverse Events (TEAEs), Serious Adverse Events (SAEs), and DeathsBaseline through Follow-up (up to 28 weeks)

* An AE was any untoward medical occurrence in a participant who was administered an investigational product that did not necessarily have a causal relationship with the treatment. A TEAE was defined as an AE that occurred post-dose or was present prior to dosing and became more severe post-dose.

* An SAE was any AE from the study that resulted in one of the following: death, initial or prolonged inpatient hospitalization, a life-threatening experience (i.e., immediate risk of dying), persistent or significant disability/incapacity, congenital anomaly/birth defect, or important medical events that might not have been immediately life-threatening or resulted in death or hospitalization but might have jeopardized the participant or required intervention to prevent one of the other outcomes listed in the definition above.

* A summary of SAEs and other non-serious AEs, regardless of causality, is located in the reported Adverse Events section of this record.

Number of Participants With One or More Hypoglycemic Events, Including Severe Hypoglycemic Events.Baseline through Follow-up (up to 28 weeks)

Hypoglycemia events were defined as those with blood glucose (BG) levels less than (\<) 70 milligrams per deciliter (mg/dL). Severe hypoglycemia events were defined as those with severe cognitive impairment requiring the assistance of another person to actively administer carbohydrates, glucagon, or other resuscitative actions. These events could be associated with sufficient neuroglycopenia to induce seizures or coma. The total number of participants who experienced hypoglycemia events, including severe hypoglycemia, was summarized cumulatively.

Percentage of Participants Reporting AEs and SAEs From Baseline to Week 24Baseline through Week 24

The percentage of participants who reported AEs and SAEs was calculated by dividing the total number of affected participants by the number of participants analyzed, then multiplying by 100. A summary of SAEs and other non-serious AEs, regardless of causality, is located in the reported Adverse Events section of this record.

Number of Participants With One or More Gastrointestinal (GI) AEs From Baseline to Week 24Baseline through Week 24

The number of participants who experienced at least one or more GI AEs of nausea, vomiting, and diarrhoea were summarized cumulatively. A summary of SAEs and other non-serious AEs, regardless of causality, is located in the reported Adverse Events section of this record.

Secondary Outcome Measures
NameTimeMethod
Mean Change in HbA1c From Baseline to Week 24Baseline, Week 24

HbA1c is the glycosylated fraction of hemoglobin A. It is measured to identify average plasma glucose concentration over prolonged periods of time. The mean change in HbA1c levels was calculated using descriptive analysis, with baseline HbA1c as a covariate. Missing endpoints were addressed using the last observation carried forward (LOCF) method.

Trial Locations

Locations (7)

Life Care Hospital and Research Centre

🇮🇳

Bangalore, Karnataka, India

Akshay Hospital

🇮🇳

Pune, Maharashtra, India

Virinchi Hospital

🇮🇳

Hyderabad, Telangana, India

Lifepoint Multispecialty Hsptl

🇮🇳

Wakad, Pune, India

Grant Medical Foundation - Ruby Hall Clinic

🇮🇳

Pune, Maharashtra, India

Medlink Hospital Opp Someshwara Jain Temple

🇮🇳

Ahmedabad, Ambavadi, India

Kovai Diabetes Speciality Center and Hospital

🇮🇳

Coimbatore, Tamil Nadu, India

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