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Trial details imported from ClinicalTrials.gov

For full trial details, please see the original record at https://clinicaltrials.gov/study/NCT01798706




Registration number
NCT01798706
Ethics application status
Date submitted
22/02/2013
Date registered
26/02/2013
Date last updated
18/04/2017

Titles & IDs
Public title
Efficacy and Safety of Lixisenatide Versus Placebo on Top of Basal Insulin and/or Oral Antidiabetic Treatment in Older Type 2 Diabetic Patients
Scientific title
A Randomized, Double-blind, Placebo-controlled, 2-arm Parallel-group, Multicenter, 24 Week Study Assessing the Safety and Efficacy of Lixisenatide in Older Patients With Type 2 Diabetes Inadequately Controlled on Their Current Diabetes Treatment Regimen
Secondary ID [1] 0 0
2012-003292-19
Secondary ID [2] 0 0
EFC12703
Universal Trial Number (UTN)
Trial acronym
GetGoal-O
Linked study record

Health condition
Health condition(s) or problem(s) studied:
Type 2 Diabetes 0 0
Condition category
Condition code
Metabolic and Endocrine 0 0 0 0
Diabetes

Intervention/exposure
Study type
Interventional
Description of intervention(s) / exposure
Treatment: Drugs - Lixisenatide (AVE0010)
Treatment: Drugs - Placebo
Treatment: Drugs - Antidiabetic background therapy

Experimental: Lixisenatide - Lixisenatide 10 mcg once daily (QD) for 2 weeks, then at a maintenance dose of 20 mcg QD up to Week 24. If the maintenance dose of 20 mcg was not tolerated, dose could be reduced to 10 mcg.

Placebo comparator: Placebo - Placebo (matched to lixisenatide) QD for 24 Weeks.


Treatment: Drugs: Lixisenatide (AVE0010)
Pharmaceutical form: Solution for injection in pre-filled pen administered 30 to 60 minutes before breakfast in the morning

Route of administration: Subcutaneous injection

Treatment: Drugs: Placebo
Pharmaceutical form: Solution for injection in pre-filled pen administered 30 to 60 minutes before breakfast in the morning

Route of administration: Subcutaneous injection

Treatment: Drugs: Antidiabetic background therapy
Participants received a stable regimen of anti-diabetic background therapy for at least 3 months prior to screening, during the placebo run-in period and the 24 week treatment period. Allowed background antidiabetic therapy included metformin, sulfonylurea (except glibenclamide \>10 mg, gliclazide \>160 mg), meglitinides (except repaglinide \>6 mg), pioglitazone and basal insulin. Insulin glargine, neutral protamine hagedorn (NPH) insulin, detemir, lente and ultralente were considered as basal insulin.
Intervention code [1] 0 0
Treatment: Drugs
Comparator / control treatment
Control group

Outcomes
Primary outcome [1] 0 0
Absolute Change in HbA1c From Baseline to Week 24
Timepoint [1] 0 0
Baseline, Week 24
Secondary outcome [1] 0 0
Change in 2-Hour PPG From Baseline to Week 24
Timepoint [1] 0 0
Baseline, Week 24
Secondary outcome [2] 0 0
Change in Average 7-point SMPG Profiles From Baseline to Week 24
Timepoint [2] 0 0
Baseline, Week 24
Secondary outcome [3] 0 0
Change in Body Weight From Baseline to Week 24
Timepoint [3] 0 0
Baseline, Week 24
Secondary outcome [4] 0 0
Change in FPG From Baseline to Week 24
Timepoint [4] 0 0
Baseline, Week 24
Secondary outcome [5] 0 0
Percentage of Participants Requiring Rescue Therapy During 24 Week Treatment Period
Timepoint [5] 0 0
Baseline up to Week 24
Secondary outcome [6] 0 0
Change in Plasma Glucose Excursions From Baseline to Week 24
Timepoint [6] 0 0
Baseline, Week 24
Secondary outcome [7] 0 0
Change in Total Daily Basal Insulin Dose From Baseline to Week 24 (in Participants Who Took Basal Insulin as Background Therapy)
Timepoint [7] 0 0
Baseline, Week 24
Secondary outcome [8] 0 0
Percentage of Participants With Symptomatic and Severe Symptomatic Hypoglycemia
Timepoint [8] 0 0
First dose of study drug up to 3 days after the last dose administration (maximum of 171 days)
Secondary outcome [9] 0 0
Percentage of Participants With HbA1c Reduction >0.5% at Week 24 and Did Not Experienced Documented (Plasma Glucose <60 mg/dL) Symptomatic Hypoglycemia
Timepoint [9] 0 0
Week 24
Secondary outcome [10] 0 0
Percentage of Participants With Gastrointestinal Disorders
Timepoint [10] 0 0
Up to Day 171

Eligibility
Key inclusion criteria
Inclusion criteria :

* Older participants, aged 70 years and above, with T2DM inadequately controlled on their current anti-diabetic pharmaceutical treatment regimen.
* Signed written informed consent.
Minimum age
70 Years
Maximum age
No limit
Sex
Both males and females
Can healthy volunteers participate?
No
Key exclusion criteria
Exclusion criteria:

* At screening HbA1c =7.0% or >10% (Acknowledging that the threshold of 7% may not be appropriate for all older participants and that this was the responsibility of the investigator to include the participant based on an individual evaluation of the expected benefits of better glycemic control versus risk of hypoglycemia).
* At screening participants on both basal insulin and sulfonylurea or basal insulin and meglitinides.
* At screening FPG >250 mg/dL (>13.9 mmol/L).
* Type 1 diabetes mellitus or history of ketoacidosis within one year prior to the screening visit.
* Type 2 diabetes mellitus diagnosed less than 1 year prior to screening.
* Anti-diabetic treatment not at a stable regimen or initiated within the last 3 months prior to screening.
* Treatment within the 3 months preceding the screening with other anti-diabetic agent than allowed background therapy. Allowed therapy includes metformin, sulfonylurea (except glibenclamide >10mg, gliclazide >160mg), meglitinides (except repaglinide >6mg), pioglitazone and basal insulin and should follow local product circulars and labeling restrictions for the study population.
* Participants who had been on an approved or an investigational Glucagon-like peptide 1 (GLP-1) medication (exenatide, liraglutide, lixisenatide or others).
* History of severe hypoglycemia associated with symptoms unawareness or results in unconsciousness/coma/seizure in the 6 months prior to screening.
* BMI <22 or >40 kg/m^2.
* Malnutrition assessed clinically by the investigator or any sub-investigator and by Mini-Nutritional Assessment-Short Form (MNA-SF) score <12 in countries (the judgment of the investigator prevails on questionnaires scores).
* Cognitive disorder and dementia assessed clinically by the investigator or any sub investigator and by Mini Mental State Examination (MMSE) score <24 (the judgment of the investigator prevails on questionnaires scores), or any neurologic disorder that affected the participant's ability to participate in the study.
* Participant who had a glomerular filtration rate (eGFR) (using the Modification of Diet in Renal Disease (MDRD) formula <30ml/min/1.73m^2).
* Participant with severe or uncontrolled disease, or any clinically significant abnormality identified on physical examination or investigational clinical procedure that, in the judgment of the investigator or any sub-investigator, would preclude safe completion of the study or constrains efficacy assessment.
* Laboratory findings at the time of screening:

* Amylase and/or lipase: >3 times the upper limit of the normal (ULN) laboratory range
* Alanine aminotransferase (ALT) or aspartate aminotransferase (AST) >3 times ULN
* Calcitonin >20 pg/mL (5.9 pmol/L).
* Clinically relevant history of gastrointestinal disease associated with prolonged nausea and vomiting, including (but not limited to): gastroparesis, unstable (i.e. worsening) and not controlled (i.e. prolonged nausea and vomiting) gastroesophageal reflux disease within 6 months prior to screening.
* History of unexplained pancreatitis, chronic pancreatitis, pancreatectomy, stomach/gastric surgery, inflammatory bowel disease.
* Personal or immediate family history of medullary thyroid cancer or genetic conditions that predisposed to medullary thyroid cancer (e.g., multiple endocrine neoplasia syndromes).

The above information is not intended to contain all considerations relevant to a participant's potential participation in a clinical trial.

Study design
Purpose of the study
Treatment
Allocation to intervention
Randomised controlled trial
Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Masking / blinding
Blinded (masking used)
Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people assessing the outcomes
The people analysing the results/data
Intervention assignment
Parallel
Other design features
Phase
Phase 3
Type of endpoint/s
Statistical methods / analysis

Recruitment
Recruitment status
Completed
Data analysis
Reason for early stopping/withdrawal
Other reasons
Date of first participant enrolment
Anticipated
Actual
1/06/2013
Date of last participant enrolment
Anticipated
Actual
Date of last data collection
Anticipated
Actual
1/02/2015
Sample size
Target
Accrual to date
Final
350
Recruitment in Australia
Recruitment state(s)
Recruitment hospital [1] 0 0
Investigational Site Number 036002 - Box Hill
Recruitment hospital [2] 0 0
Investigational Site Number 036006 - Brookvale
Recruitment hospital [3] 0 0
Investigational Site Number 036004 - Camperdown
Recruitment hospital [4] 0 0
Investigational Site Number 036005 - Gosford
Recruitment hospital [5] 0 0
Investigational Site Number 036001 - Heidelberg
Recruitment hospital [6] 0 0
Investigational Site Number 036003 - Parkville
Recruitment postcode(s) [1] 0 0
3128 - Box Hill
Recruitment postcode(s) [2] 0 0
2100 - Brookvale
Recruitment postcode(s) [3] 0 0
2050 - Camperdown
Recruitment postcode(s) [4] 0 0
2250 - Gosford
Recruitment postcode(s) [5] 0 0
3081 - Heidelberg
Recruitment postcode(s) [6] 0 0
3050 - Parkville
Recruitment outside Australia
Country [1] 0 0
United States of America
State/province [1] 0 0
California
Country [2] 0 0
United States of America
State/province [2] 0 0
Florida
Country [3] 0 0
United States of America
State/province [3] 0 0
Iowa
Country [4] 0 0
United States of America
State/province [4] 0 0
Maryland
Country [5] 0 0
United States of America
State/province [5] 0 0
Mississippi
Country [6] 0 0
United States of America
State/province [6] 0 0
Nebraska
Country [7] 0 0
United States of America
State/province [7] 0 0
North Carolina
Country [8] 0 0
United States of America
State/province [8] 0 0
North Dakota
Country [9] 0 0
United States of America
State/province [9] 0 0
Ohio
Country [10] 0 0
United States of America
State/province [10] 0 0
Utah
Country [11] 0 0
United States of America
State/province [11] 0 0
Wisconsin
Country [12] 0 0
Bulgaria
State/province [12] 0 0
Plovdiv
Country [13] 0 0
Bulgaria
State/province [13] 0 0
Sofia
Country [14] 0 0
Bulgaria
State/province [14] 0 0
Stara Zagora
Country [15] 0 0
Bulgaria
State/province [15] 0 0
Varna
Country [16] 0 0
Canada
State/province [16] 0 0
Hamilton
Country [17] 0 0
Canada
State/province [17] 0 0
London
Country [18] 0 0
Canada
State/province [18] 0 0
Sherbrooke
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Canada
State/province [19] 0 0
St-Romuald
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Canada
State/province [20] 0 0
Vancouver
Country [21] 0 0
Canada
State/province [21] 0 0
Westmount
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Canada
State/province [22] 0 0
Winnipeg
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Denmark
State/province [23] 0 0
Esbjerg
Country [24] 0 0
Denmark
State/province [24] 0 0
København Nv
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Denmark
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København S
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Denmark
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Slagelse
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Denmark
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Svendborg
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Germany
State/province [28] 0 0
Dresden
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Germany
State/province [29] 0 0
Essen
Country [30] 0 0
Germany
State/province [30] 0 0
München
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Germany
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Münster
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Germany
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Pirna
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Germany
State/province [33] 0 0
Pohlheim
Country [34] 0 0
Germany
State/province [34] 0 0
Potsdam
Country [35] 0 0
Germany
State/province [35] 0 0
Saarlouis
Country [36] 0 0
Norway
State/province [36] 0 0
Hønefoss
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Norway
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Kongsvinger
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Norway
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Oslo
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Norway
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Stavanger
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Norway
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Trondheim
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Peru
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Arequipa
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Peru
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Lima
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Peru
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Piura
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Poland
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Gdansk
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Poland
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Krakow
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Poland
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Poznan
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Poland
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Ruda Slaska
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Poland
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Szczecin
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South Africa
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Cape Town
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South Africa
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Somerset West
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Spain
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Alcira
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Spain
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Barcelona
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Spain
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Hostalets De Balenyà
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Spain
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Madrid
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Spain
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Sanlúcar De Barrameda
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Spain
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Santiago De Compostela
Country [57] 0 0
Sweden
State/province [57] 0 0
Göteborg
Country [58] 0 0
Sweden
State/province [58] 0 0
Härnösand
Country [59] 0 0
Sweden
State/province [59] 0 0
Lund
Country [60] 0 0
Sweden
State/province [60] 0 0
Malmö
Country [61] 0 0
Sweden
State/province [61] 0 0
Stockholm
Country [62] 0 0
United Kingdom
State/province [62] 0 0
Bexhill-On-Sea
Country [63] 0 0
United Kingdom
State/province [63] 0 0
Glasgow
Country [64] 0 0
United Kingdom
State/province [64] 0 0
Irvine
Country [65] 0 0
United Kingdom
State/province [65] 0 0
Trowbridge

Funding & Sponsors
Primary sponsor type
Commercial sector/industry
Name
Sanofi
Address
Country

Ethics approval
Ethics application status

Summary
Brief summary
Primary objective:

- To evaluate the effect of lixisenatide versus placebo over a period of 24 weeks on glycemic control, as evaluated by glycosylated hemoglobin (HbA1c) reduction, in older type 2 diabetes participants (T2DM) who are inadequately controlled with their current anti-diabetic treatment regimen.

Main secondary objective:

- To assess the safety and tolerability of lixisenatide compared to placebo in older T2DM participants (including occurrence of documented (Plasma Glucose PG \< 60 mg/dL) symptomatic hypoglycemia and gastrointestinal side effects).

Other secondary objectives:

* To assess the effect of lixisenatide compared to placebo after 24-week treatment on:

* Fasting plasma glucose (FPG);
* During liquid standardized breakfast meal challenge test : 2 hour- Postprandial Plasma Glucose (PPG) and Plasma Glucose Excursion;
* 7-point Self-monitored plasma glucose (SMPG) profile;
* Body weight;
* Change in total daily dose of basal insulin (if taken);
* Percentage of participants requiring rescue therapy
* Safety and tolerability;
* To assess lixisenatide pharmacokinetic profile;
* To assess anti-lixisenatide antibody development.
Trial website
https://clinicaltrials.gov/study/NCT01798706
Trial related presentations / publications
Meneilly GS, Roy-Duval C, Alawi H, Dailey G, Bellido D, Trescoli C, Manrique Hurtado H, Guo H, Pilorget V, Perfetti R, Simpson H; GetGoal-O Trial Investigators. Lixisenatide Therapy in Older Patients With Type 2 Diabetes Inadequately Controlled on Their Current Antidiabetic Treatment: The GetGoal-O Randomized Trial. Diabetes Care. 2017 Apr;40(4):485-493. doi: 10.2337/dc16-2143. Epub 2017 Feb 10.
Public notes

Contacts
Principal investigator
Name 0 0
Clinical Sciences & Operations
Address 0 0
Sanofi
Country 0 0
Phone 0 0
Fax 0 0
Email 0 0
Contact person for public queries
Name 0 0
Address 0 0
Country 0 0
Phone 0 0
Fax 0 0
Email 0 0
Contact person for scientific queries



Summary Results

For IPD and results data, please see https://clinicaltrials.gov/study/NCT01798706