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DiabetesPhase 3NCT02964247

LIRA-ADD2SGLT2i - Liraglutide Versus Placebo as add-on to SGLT2 Inhibitors.

A Phase 3 study testing liraglutide in people with Diabetes and Diabetes Mellitus, Type 2, run by Novo Nordisk A/S at 82 sites in 7 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

The trial is conducted in Asia, Europe, North America and South America. The aim of the study is to compare the effect of liraglutide 1.8 mg/day versus placebo as add-on to an SGLT2 inhibitor with or without metformin on glycaemic control in subjects with type 2 diabetes mellitus. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Diabetes, Diabetes Mellitus, Type 2
What is being tested?
liraglutide
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
303 participants
Where
82 sitesin 7 countries
Study dates
3 Mar 2017to 8 May 2018
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Informed consent obtained before any trial-related activities. Trial-related activities are any procedures that are carried out as part of the trial, including activities to determine suitability for the trial.
  • Male or female, age 18 years or older at the time of signing informed consent.
  • Diagnosed with type 2 diabetes mellitus.
  • HbA1c of 7.0-9.5% (53-80 mmol/mol) (both inclusive).
  • Stable dose of an SGLT-2 inhibitor as monotherapy or in combination (including fixed-dose drug combination) with a stable dose of metformin (1500 mg or more, or maximum tolerated dose) for at least 90 days prior to the day of screening. All medications in compliance with current local label.
  • Body mass index of 20 kg/m^2 or above.

Who cannot join

  • Female who is pregnant, breast-feeding or intends to become pregnant or is of child-bearing potential and not using an adequate contraceptive method (adequate contraceptive measure as required by local regulation or practice).
  • History of diabetic ketoacidosis while being treated with SGLT2 inhibitors.
  • Renal impairment measured as estimated Glomerular Filtration Rate (eGFR) value of less than 60 mL/min/1.73m^2 as defined by Kidney Disease Improving Global Outcomes (KDIGO) classification using isotope dilution mass spectrometry (IDMS) for serum creatinine measured at screening.
  • Treatment with any medication for the indication of diabetes or obesity other than stated in the inclusion criteria within the past 90 days prior to the day of screening. However, short term insulin treatment for a maximum of 14 days during the 90 days prior to screening is allowed.
  • Family or personal history of multiple endocrine neoplasia type 2 or medullary thyroid carcinoma. Family is defined as a first degree relative.
  • History or presence of pancreatitis (acute or chronic).
  • Impaired liver function, defined as ALT 2.5 or more times upper normal limit at screening.
  • Subjects presently classified as being in New York Heart Association (NYHA) Class IV.

Trial locations and contacts

82 sites in 7 countries.

82 sites in 7 countries

United States56 sites
  • Novo Nordisk Investigational Site

    Albany, New York, 12203

  • Novo Nordisk Investigational Site

    Billings, Montana, 59101

  • Novo Nordisk Investigational Site

    Birmingham, Alabama, 35294

  • Novo Nordisk Investigational Site

    Blackfoot, Idaho, 83221

  • Novo Nordisk Investigational Site

    Charlotte, North Carolina, 28210

  • Novo Nordisk Investigational Site

    Charlotte, North Carolina, 28226

  • Novo Nordisk Investigational Site

    Charlotte, North Carolina, 28277

  • Novo Nordisk Investigational Site

    Cincinnati, Ohio, 45245

  • Novo Nordisk Investigational Site

    Columbus, Ohio, 43212

  • Novo Nordisk Investigational Site

    Dallas, Texas, 75231

  • Novo Nordisk Investigational Site

    Edinburg, Texas, 78539

  • Novo Nordisk Investigational Site

    Evansville, Indiana, 47714

  • Novo Nordisk Investigational Site

    Gainesville, Florida, 32653

  • Novo Nordisk Investigational Site

    Henderson, Nevada, 89052-2649

  • Novo Nordisk Investigational Site

    Hollywood, Florida, 33024

  • Novo Nordisk Investigational Site

    Houston, Texas, 77024

  • Novo Nordisk Investigational Site

    Houston, Texas, 77030

  • Novo Nordisk Investigational Site

    Humble, Texas, 77338

  • Novo Nordisk Investigational Site

    Jacksonville, Florida, 32216

  • Novo Nordisk Investigational Site

    Jacksonville, Florida, 32256

  • Novo Nordisk Investigational Site

    Jacksonville, Florida, 32258

  • Novo Nordisk Investigational Site

    Kalamazoo, Michigan, 49009

  • Novo Nordisk Investigational Site

    Kinston, North Carolina, 28501

  • Novo Nordisk Investigational Site

    Lancaster, California, 93534

  • Novo Nordisk Investigational Site

    Lawrenceville, Georgia, 30046

  • Novo Nordisk Investigational Site

    Lexington, Kentucky, 40503

  • Novo Nordisk Investigational Site

    Maitland, Florida, 32751

  • Novo Nordisk Investigational Site

    McMurray, Pennsylvania, 15317

  • Novo Nordisk Investigational Site

    Memphis, Tennessee, 38119

  • Novo Nordisk Investigational Site

    Miami, Florida, 33165

  • Novo Nordisk Investigational Site

    Miami, Florida, 33176

  • Novo Nordisk Investigational Site

    Miami Lakes, Florida, 33016

  • Novo Nordisk Investigational Site

    Moncks Corner, South Carolina, 29461

  • Novo Nordisk Investigational Site

    Montgomery, Alabama, 36109

  • Novo Nordisk Investigational Site

    Mt. Pleasant, South Carolina, 29464

  • Novo Nordisk Investigational Site

    Myrtle Beach, South Carolina, 29572

  • Novo Nordisk Investigational Site

    Nashville, Tennessee, 37203

  • Novo Nordisk Investigational Site

    New Orleans, Louisiana, 70115

  • Novo Nordisk Investigational Site

    Northridge, California, 91325

  • Novo Nordisk Investigational Site

    Pittsburgh, Pennsylvania, 15243

  • Novo Nordisk Investigational Site

    Rochester, Michigan, 48307

  • Novo Nordisk Investigational Site

    Roswell, Georgia, 30076

  • Novo Nordisk Investigational Site

    Round Rock, Texas, 78681

  • Novo Nordisk Investigational Site

    Sacramento, California, 95821

  • Novo Nordisk Investigational Site

    San Diego, California, 92111

  • Novo Nordisk Investigational Site

    San Ramon, California, 94583

  • Novo Nordisk Investigational Site

    Schertz, Texas, 78154

  • Novo Nordisk Investigational Site

    Spartanburg, South Carolina, 29303

  • Novo Nordisk Investigational Site

    Spokane, Washington, 99201

  • Novo Nordisk Investigational Site

    Statesboro, Georgia, 30461

  • Novo Nordisk Investigational Site

    Tampa, Florida, 33606

  • Novo Nordisk Investigational Site

    Topeka, Kansas, 66606

  • Novo Nordisk Investigational Site

    Tucson, Arizona, 85741

  • Novo Nordisk Investigational Site

    Vista, California, 92083

  • Novo Nordisk Investigational Site

    West Seneca, New York, 14224

  • Novo Nordisk Investigational Site

    Wilmington, North Carolina, 28401

Other trials in United States

India9 sites
  • Novo Nordisk Investigational Site

    Ahmedabad, Gujarat, 380008

  • Novo Nordisk Investigational Site

    Bangalore, Karnataka, 560 017

  • Novo Nordisk Investigational Site

    Coimbatore, Tamil Nadu, 641009

  • Novo Nordisk Investigational Site

    Hyderabad, Telangana, 500003

  • Novo Nordisk Investigational Site

    Indore, Madhya Pradesh, 452010

  • Novo Nordisk Investigational Site

    Jaipur, Rajasthan, 302006

  • Novo Nordisk Investigational Site

    Kolkata, West Bengal, 700080

  • Novo Nordisk Investigational Site

    New Delhi, 110001

  • Novo Nordisk Investigational Site

    Pune, Maharashtra, 411004

Other trials in India

Russia5 sites
  • Novo Nordisk Investigational Site

    Saint Petersburg, 190013

  • Novo Nordisk Investigational Site

    Saint Petersburg, 190068

  • Novo Nordisk Investigational Site

    Saint Petersburg, 194354

  • Novo Nordisk Investigational Site

    Saint Petersburg, 195197

  • Novo Nordisk Investigational Site

    Saint Petersburg, 199226

Other trials in Russia

Israel4 sites
  • Novo Nordisk Investigational Site

    Haifa, 35152

  • Novo Nordisk Investigational Site

    Kfar Saba, 44281

  • Novo Nordisk Investigational Site

    Tel Aviv, 62038

  • Novo Nordisk Investigational Site

    Tel HaShomer, 52621

Other trials in Israel

United Arab Emirates4 sites
  • Novo Nordisk Investigational Site

    Al Ain City, 1006

  • Novo Nordisk Investigational Site

    Dubai, 7272

  • Novo Nordisk Investigational Site

    Umm Al Quwain City, 24

  • Novo Nordisk Investigational Site

    Umm Al Quwain City, 499

Other trials in United Arab Emirates

Brazil3 sites
  • Novo Nordisk Investigational Site

    Curitiba, Paraná, 80030-110

  • Novo Nordisk Investigational Site

    Porto Alegre, Rio Grande do Sul, 90035-170

  • Novo Nordisk Investigational Site

    São Paulo, São Paulo, 01228-000

Other trials in Brazil

Puerto Rico1 site
  • Novo Nordisk Investigational Site

    Ponce, 00716

Other trials in Puerto Rico

About this study

Official title: LIRA-ADD2SGLT2i - Liraglutide Versus Placebo as add-on to SGLT2 Inhibitors

The trial is conducted in Asia, Europe, North America and South America. The aim of the study is to compare the effect of liraglutide 1.8 mg/day versus placebo as add-on to an SGLT2 inhibitor with or without metformin on glycaemic control in subjects with type 2 diabetes mellitus.

Being tested
liraglutide, placebo
Medical subject headings
Diabetes Mellitus, Diabetes Mellitus, Type 2

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • liraglutideDrug

    Liraglutide given s.c. once daily, gradually titrated to 1.8 mg/day as an add-on to the subject's stable pre-trial SGLT2 inhibitor ± metformin for 26 weeks

  • placeboDrug

    Liraglutide placebo given s.c. once daily, gradually titrated to 1.8 mg/day as an add-on to the subject's stable pre-trial SGLT2 inhibitor ± metformin for 26 weeks

Study groups in NCT02964247
Study groupRoleWhat they receive
liraglutide + SGLT2i ± metforminExperimentalNot described
Receives: Drug: liraglutide
liraglutide placebo + SGLT2i ± metforminPlacebo comparatorNot described
Receives: Drug: placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change in HbA1c

    Change from baseline (week 0) to week 26 in glycosylated haemoglobin was evaluated for 2 different observation period 'in-trial' observation period and 'on-treatment without rescue medication" observation period. The 'in-trial' observation period represents the time-period where subjects were considered to be in the trial, regardless of whether or not the subjects had initiated rescue medication or prematurely discontinued trial product. The 'on-treatment' observation period is the part of the in-trial observation period during which subjects were treated with the trial product, that is the time from the first dose to the last dose of trial product. The 'on-treatment without rescue medication' observation period is a part of 'on-treatment' observation period during which subjects were considered treated with trial product and had not initiated any rescue medications.

    Measured: Week 0, Week 26

Secondary outcomes (25)
  1. Change in Body Weight

    Change from baseline (week 0) to week 26 in body weight was evaluated for 2 different observation period 'in-trial' observation period and 'on-treatment without rescue medication" observation period. The 'in-trial' observation period represents the time-period where subjects were considered to be in the trial, regardless of whether or not the subjects had initiated rescue medication or prematurely discontinued trial product. The 'on-treatment' observation period is the part of the in-trial observation period during which subjects were treated with the trial product, that is the time from the first dose to the last dose of trial product. The 'on-treatment without rescue medication' observation period is a part of 'on-treatment' observation period during which subjects were considered treated with trial product and had not initiated any rescue medications.

    Measured: Week 0, Week 26

  2. Change in Fasting Plasma Glucose

    Change from baseline (week 0) to week 26 in fasting plasma glucose ('in-trial' observation period)

    Measured: Week 0, Week 26

  3. Subjects Who Achieve HbA1c Below 7.0% (53 mmol/Mol), American Diabetes Association Target

    Percentage of subjects who achieve HbA1c below 7.0% (53 mmol/mol), American Diabetes Association target, after 26 weeks ('in-trial' observation period)

    Measured: Week 26

  4. Subjects Who Achieve HbA1c Below or Equal to 6.5% (48 mmol/Mol), American Association of Clinical Endocrinologists Target

    Percentage of subjects who achieve HbA1c below or equal to 6.5% (48 mmol/mol), American Association of Clinical Endocrinologists target, after 26 weeks ('in-trial' observation period)

    Measured: Week 26

  5. Subjects Who Achieve HbA1c Below 7.0% (53 mmol/Mol) Without Severe or Blood Glucose Confirmed Symptomatic Hypoglycaemia Episodes and no Weight Gain.

    Percentage of subjects who achieve HbA1c below 7.0% (53 mmol/mol) without severe or blood glucose confirmed symptomatic hypoglycaemia episodes and no weight gain, after 26 weeks ('in-trial' observation period)

    Measured: Week 26

  6. Subjects Who Achieve HbA1c Reduction Above or Equal to 1% (11mmol/Mol) and Weight Loss Above or Equal to 3%.

    Percentage of subjects who achieve HbA1c reduction above or equal to 1% (11mmol/mol) and weight loss above or equal to 3%, after 26 weeks ('in-trial' observation period)

    Measured: Week 26

  7. Change in Self-measured Plasma Glucose 7-point Profile - Mean 7-point Profile

    Change in self-measured plasma glucose 7-point profile - mean 7-point profile after 26 weeks. Subjects were instructed to measure their plasma glucose at following 7 timepoints: before breakfast, 90 minutes after start of breakfast, before lunch, 90 minutes after start of lunch, before dinner, 90 minutes after start of dinner, at bedtime. Mean of the 7-point profile was calculated ('in-trial' observation period).

    Measured: Week 0, Week 26

  8. Change in Self-measured Plasma Glucose 7-point Profile - Mean Post Prandial Increments (Over All Meals)

    Subjects were instructed to measure their plasma glucose at following 7 timepoints: before breakfast, 90 minutes after start of breakfast, before lunch, 90 minutes after start of lunch, before dinner, 90 minutes after start of dinner, at bedtime. The mean increment over all meals was derived as the mean of all available meal increments ('in-trial' observation period)

    Measured: Week 0, Week 26

  9. Change in Body Mass Index (BMI)

    Observed mean change from baseline (week 0) to week 26 in body mass index (BMI). BMI was calculated based on body weight and height ('in-trial' observation period)

    Measured: Week 0, Week 26

  10. Subjects Who Achieve HbA1c Below 7.0% (53 mmol/Mol) and no Weight Gain

    Percentage of subjects who achieve HbA1c below 7.0% (53 mmol/mol) and no weight gain, after 26 week ('in-trial' observation period).

    Measured: Week 26

  11. Subjects Who Achieve HbA1c Below 7.0% (53 mmol/Mol), no Weight Gain and Systolic Blood Pressure Below 140 mmHg.

    Percentage of subjects who achieve HbA1c below 7.0% (53 mmol/mol), no weight gain and systolic blood pressure below 140 mmHg, after 26 weeks ('in-trial' observation period)

    Measured: Week 26

  12. Subjects Who Achieve HbA1c Reduction Above or Equal to 1% (11mmol/Mol)

    Percentage of subjects who achieve HbA1c reduction above or equal to 1% (11mmol/mol), after 26 weeks ('in-trial' observation period)

    Measured: Week 26

  13. Subjects Who Achieve HbA1c Reduction Above or Equal to 1% (11mmol/Mol) and no Weight Gain

    Percentage of subjects who achieve HbA1c reduction above or equal to 1% (11mmol/mol) and no weight gain, after 26 weeks.

    Measured: Week 26

  14. Number of Treatment Emergent Adverse Events

    The on-treatment summary of adverse events includes treatment-emergent events with onset on or after the first day of exposure to randomised treatment and no later than the minimum of the date of the follow-up visit or the last day of randomised treatment + 7 days or the date of last subject-investigator contact.

    Measured: Week 0 - 26 + 7 days

  15. Number of Treatment Emergent Severe or Blood Glucose Confirmed Symptomatic Hypoglycaemia Episodes

    Treatment emergent hypoglycaemic episode is defined episode with onset on or after the first day of exposure to randomised treatment and no later than the minimum of the date of the follow-up visit or the last day of randomised treatment + 1 days or the date of last subject-investigator contact. Severe or BG confirmed symptomatic hypoglycaemic episodes were defined as episodes that were severe according to American Diabetes Association's (ADA) classification or blood glucose confirmed by a plasma glucose value < 3.1 mmol/L (56 mg/dL) with symptoms consistent with hypoglycaemia. Severe hypoglycaemia according to the ADA definition: an episode requiring assistance of another person to actively administer carbohydrate, glucagon, or take other corrective actions.

    Measured: Week 0 - 26

  16. Change in Fasting Blood Lipids - Total Cholesterol

    Fasting total cholesterol measured in mg/dL. Observed mean change in fasting total cholesterol from baseline (week 0) to week 26 is presented as ratio to baseline value.

    Measured: Week 0, Week 26

  17. Change in Fasting Blood Lipids - Low Density Lipoprotein (LDL) Cholesterol

    Low density lipoprotein (LDL) cholesterol measured in mg/dL. Observed mean change in fasting low density lipoprotein cholesterol from baseline (week 0) to week 26 is presented as ratio to baseline value.

    Measured: Week 0, Week 26

  18. Change in Fasting Blood Lipids - High Density Lipoprotein (HDL) Cholesterol

    High density lipoprotein (HDL) cholesterol measured in mg/dL. Observed mean change in fasting high density lipoprotein cholesterol from baseline (week 0) to week 26 is presented as ratio to baseline value.

    Measured: Week 0, Week 26

  19. Change in Fasting Blood Lipids - Very Low Density Lipoprotein (VLDL) Cholesterol

    Very low density lipoprotein (VLDL) cholesterol measured in mg/dL. Observed mean change in fasting very low density lipoprotein cholesterol from baseline (week 0) to week 26 is presented as ratio to baseline value.

    Measured: Week 0, Week 26

  20. Change in Fasting Blood Lipids-triglycerides

    Fasting triglycerides measured in mg/dL. Observed mean change in fasting triglycerides from baseline (week 0) to week 26 is presented as ratio to baseline value.

    Measured: Week 0, Week 26

  21. Change in Fasting Blood Lipids- Free Fatty Acids (FFA)

    Free fatty acids measured in mg/dL. Observed mean change in fasting free fatty acids from baseline (week 0) to week 26 is presented as ratio to baseline value.

    Measured: Week 0, Week 26

  22. Change in Waist Circumference

    Change from baseline (week 0) to week 26 in waist circumference ('in-trial' observation period).

    Measured: Week 0, Week 26

  23. Change in Systolic Blood Pressure

    Change from baseline (week 0) in systolic blood pressure after 26 weeks ('in-trial' observation period).

    Measured: Week 0, Week 26

  24. Change in Diastolic Blood Pressure

    Change from baseline (week 0) in diastolic blood pressure after 26 weeks ('in-trial' observation period).

    Measured: Week 0, Week 26

  25. Subjects Who Achieve Weight Loss by 3% or More

    Percentage of subjects who achieve HbA1c reduction above or equal to 1% (11mmol/mol) and weight loss above or equal to 3%, after 26 weeks ('in-trial' observation period).

    Measured: Week 26

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted16 Nov 2016 (estimated)
  2. Study start3 Mar 2017
  3. Primary completion4 May 2018
  4. Study completion8 May 2018

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
303 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02964247
Sponsor's protocol ID
NN2211-4315
Other IDs
U1111-1184-8086
Status last verified
Oct 2020
First submitted
11 Nov 2016
Last updated
17 Nov 2020
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: According to the Novo Nordisk disclosure commitment on novonordisk-trials.com

Publications

  • Blonde L, Belousova L, Fainberg U, Garcia-Hernandez PA, Jain SM, Kaltoft MS, Mosenzon O, Nafach J, Palle MS, Rea R. Liraglutide as add-on to sodium-glucose co-transporter-2 inhibitors in patients with inadequately controlled type 2 diabetes: LIRA-ADD2SGLT2i, a 26-week, randomized, double-blind, placebo-controlled trial. Diabetes Obes Metab. 2020 Jun;22(6):929-937. doi: 10.1111/dom.13978. Epub 2020 Feb 14.

    PubMed 31984646
  • Blonde L, Fainberg U, Kaltoft MS, Mosenzon O, Ramesh C, Rea R. Efficacy of liraglutide added to sodium-glucose cotransporter-2 inhibitors in type 2 diabetes, stratified by baseline characteristics: Post-hoc analysis of LIRA-ADD2SGLT2i. Diabetes Obes Metab. 2021 Oct;23(10):2234-2241. doi: 10.1111/dom.14464. Epub 2021 Jul 8.

    PubMed 34132018

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing liraglutide in people with Diabetes and Diabetes Mellitus, Type 2, run by Novo Nordisk A/S at 82 sites in 7 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 6 inclusion and 8 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 17 Nov 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 82 sites in United States, India, Russia, Israel, United Arab Emirates and 2 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 10 Jul 2019). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change in HbA1c (time frame: Week 0, Week 26). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02964247, which also lists 2 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 17 Nov 2020; AzTrials last refreshed its copy on 8 Nov 2026.

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