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CompletedPhase 3Results posted

Combined Liraglutide and Metformin Therapy in Women With Previous Gestational Diabetes Mellitus (GDM)

Effects of Intervention With the Glucagon-like Peptide 1 (GLP-1) Analog Liraglutide Plus Metformin Versus Metformin Monotherapy in Overweight/Obese Women With Metabolic Defects and Recent History of Gestational Diabetes Mellitus (GDM)

Lead sponsor

Woman's

Asset

Liraglutide

Subcutaneous · GLP-1 agonist

Listed sites

1

Recruiting sites

Enrollment

153

actual

Study population

Gestational diabetes, Obesity / overweight, Prediabetes / glucose intolerance

Key I/E criteria

BMI ≥25Female

Primary endpoint

Insulin Secretion-Sensitivity Index (IS-SI)

Footprint

Where this trial recruits

Site locations as reported to ClinicalTrials.gov. Site count is not enrollment count; per-site enrollment is not available from source.

Identifiers

Registered as

NCT IDNCT01234649
Org study IDRP10-012

Timeline

Milestones

Study first posted2010-11-04estimated
Study start2011-08-11actual
Primary completion2019-04-24actual
Study completion2019-06-14actual
Last update posted2019-07-26actual
Results first posted2019-07-26actual

Assets

Investigational agents

Study populations

Who this study enrolls

Gestational diabetesObesity / overweightPrediabetes / glucose intolerance

Eligibility

Who can enroll

Minimum age18 Years
Maximum age45 Years
SexFemale
Healthy volunteersAccepted

Inclusion criteria

Adult female 18 years to 45 years of age who experienced GDM within 52 weeks of index pregnancy
Actual BMI >25 kg/ m2
Written consent for participation in the study
Patient completed lactation
Dysglycemia (impaired fasting glucose [IFG}, impaired glucose tolerance [IGT} or IFG/IGT) and/or ß-cell dysfunction postpartum requiring pharmacological intervention (except type 1 or 2 diabetes)

Exclusion criteria

Personal or family history of medullary thyroid carcinoma or in patients with Multiple Endocrine Neoplasia syndrome type 2

History of pancreatitis
Significant cardiovascular, cerebrovascular, renal, or hepatobiliary diseases in the past (viral hepatitis, toxic hepatic damage, jaundice of unknown etiology)
Serum liver enzymes (AST and/or ALT levels) exceeding more than twice normal laboratory values
Uncontrolled hypertension (systolic blood pressure>150 mm Hg and/or diastolic blood pressure >90 mm Hg)
Fasting serum triglycerides ≥800 mg/dl at screening. Lipid-lowering medications must have been maintained at the same dose for 3 months prior to enrollment
Hematological profiles considered to be clinically significant
Cholestasis during the past pregnancy
Presence of contradictions for GLP-1 receptor agonist or metformin administration such as allergy or hypersensitivity
Current use of metformin, thiazolidinediones, dipeptidyl peptidase-4 inhibitors or GLP-1 receptor agonist medications.
Use of drugs known to exacerbate glucose tolerance.
Use of prescription or over-the-counter weight-loss drugs
Diabetes postpartum or history of diabetes or prior use of medications to treat diabetes except gestational diabetes
Creatinine clearance less than 60 ml/min
History or currently undergoing chemotherapy or radiotherapy for cancer
Pregnancy planned during the coming two years
Currently breastfeeding
Exclusion criteria include any condition, which in the opinion of the investigator would place the subject at increased risk or otherwise make the subject unsuitable for participation in the study

Endpoints (44)

What's being measured

Protocol endpoints and posted registry outcome measures, grouped into outcome categories. Composite endpoints show their component event types. Standard codes (LOINC, SNOMED CT) are shown where available.

Coverage by outcome category

Cardiometabolic biomarkers
14
Weight & body composition
12
Glycemic / diabetes
12
MASH / liver
6

Weight & body composition

12 endpoints
Secondary/registry result

Absolute Body Weight

Time frame:84 weeks of treatment

Body weight, absolute change (kg)

change from baseline, improvement

Posted result

GroupValue (mean), kilograms95% CI
Metformin XR Plus Liraglutide94.2
Metformin XR Plus Placebo91.3
p<0.048ANOVA

Factorial repeated measures ANOVA

Secondary/registry result

Change in Body Weight From Baseline to End of Study (Expressed as % Compared to Baseline)

Time frame:Change from baseline (time 0) to study end (84 weeks)

Body weight, % change

percent change from baseline, improvement

Posted result

GroupValue (mean), percent change in weight from baseline95% CI
Metformin XR Plus Liraglutide-7.2
Metformin XR Plus Placebo-3.1
p<0.04ANOVA
Secondary/registry result

Body Mass Index (BMI)

Time frame:84 weeks of treatment

BMI, change

change from baseline, improvement

Posted result

GroupValue (mean), weight (kg) /height (m) squared95% CI
Metformin XR Plus Liraglutide33.8
Metformin XR Plus Placebo32.8
p<0.047ANOVA

Factorial repeated measures ANOVA

Secondary/registry result

Waist Circumference (WC)

Time frame:84 weeks of treatment

Waist circumference, change

change from baseline, improvement

Posted result

GroupValue (mean), centimeters95% CI
Metformin XR Plus Liraglutide94.3
Metformin XR Plus Placebo95.3
p<0.023ANOVA

Factorial repeated measures ANOVA

Secondary/registry result

Waist-to-Hip Ratio (WHR)

Time frame:84 weeks of treatment

ratio, improvement

Posted result

GroupValue (mean), ratio of waist/hip circumference95% CI
Metformin XR Plus Liraglutide.81
Metformin XR Plus Placebo.81
p>0.05ANOVA

Factorial repeated measures ANOVA

Secondary/registry result

Waist to Height Ratio (WHtR)

Time frame:84 weeks of treatment

ratio, improvement

Posted result

GroupValue (mean), ratio of waist /height95% CI
Metformin XR Plus Liraglutide.56
Metformin XR Plus Placebo.57
p0.042ANOVA

Factorial repeated measures ANOVA

Secondary/protocol endpoint

Absolute Body Weight

Time frame:84 weeks of treatment

Body weight, absolute change (kg)

change from baseline, improvement

Secondary/protocol endpoint

Change in Body Weight From Baseline to End of Study (Expressed as % Compared to Baseline)

Time frame:Change from baseline (time 0) to study end (84 weeks)

Body weight, % change

percent change from baseline, improvement

Secondary/protocol endpoint

Body Mass Index (BMI)

Time frame:84 weeks of treatment

BMI, change

change from baseline, improvement

Secondary/protocol endpoint

Waist Circumference (WC)

Time frame:84 weeks of treatment

Waist circumference, change

change from baseline, improvement

Secondary/protocol endpoint

Waist-to-Hip Ratio (WHR)

Time frame:84 weeks of treatment

ratio, improvement

Secondary/protocol endpoint

Waist to Height Ratio (WHtR)

Time frame:84 weeks of treatment

ratio, improvement

Glycemic / diabetes

12 endpoints
Primary/registry result

Insulin Secretion-Sensitivity Index (IS-SI)

Time frame:84 weeks of treatment

change from baseline, improvement

Posted result

GroupValue (mean), index95% CI
Metformin XR Plus Liraglutide418.4
Metformin XR Plus Placebo333
p<0.04ANOVA

Factorial repeated measures design

Primary/protocol endpoint

Insulin Secretion-Sensitivity Index (IS-SI)

Time frame:84 weeks of treatment

change from baseline, improvement

Secondary/registry result

Fasting Blood Glucose (FBG)

Time frame:84 weeks of treatment

Fasting glucose, change

change from baseline, improvement

LOINC 1558-6

Posted result

GroupValue (mean), mg/dL95% CI
Metformin XR Plus Liraglutide90
Metformin XR Plus Placebo91.7
p<.005ANOVA

Factorial repeated measures ANOVA

Secondary/registry result

Mean Glucose During OGTT (MBG)

Time frame:84 weeks of treatment

descriptive, improvement

Posted result

GroupValue (mean), mg/dL95% CI
Metformin XR Plus Liraglutide121.6
Metformin XR Plus Placebo118.8
p<0.011ANOVA

Factorial repeated measures ANOVA

Secondary/registry result

Homeostasis Model Assessment of Insulin Resistance (HOMA-IR)

Time frame:84 weeks of treatment

HOMA-IR (insulin sensitivity)

change from baseline, improvement

Posted result

GroupValue (mean), index95% CI
Metformin XR Plus Liraglutide2.2
Metformin XR Plus Placebo2.45
p>0.05ANOVA

Nested repeated measures design

Secondary/registry result

Matsuda Insulin Sensitivity Index Derived From OGTT

Time frame:84 weeks of treatment

change from baseline, improvement

Posted result

GroupValue (mean), index95% CI
Metformin XR Plus Liraglutide5.9
Metformin XR Plus Placebo5.4
p<0.03ANOVA

Factorial repeated measures ANOVA

Secondary/registry result

Insulinogenic Index (IGI) /HOMA-IR

Time frame:84 weeks of treatment

HOMA-IR (insulin sensitivity)

ratio, improvement

Posted result

GroupValue (mean), index95% CI
Metformin XR Plus Liraglutide0.8
Metformin XR Plus Placebo0.62
p>0.05ANOVA

Factorial repeated measures ANOVA

Secondary/protocol endpoint

Fasting Blood Glucose (FBG)

Time frame:84 weeks of treatment

Fasting glucose, change

change from baseline, improvement

LOINC 1558-6

Secondary/protocol endpoint

Mean Glucose During OGTT (MBG)

Time frame:84 weeks of treatment

change from baseline, improvement

Secondary/protocol endpoint

Homeostasis Model Assessment of Insulin Resistance (HOMA-IR)

Time frame:84 weeks of treatment

HOMA-IR (insulin sensitivity)

change from baseline, improvement

Secondary/protocol endpoint

Matsuda Insulin Sensitivity Index Derived From OGTT

Time frame:84 weeks of treatment

change from baseline, improvement

Secondary/protocol endpoint

Insulinogenic Index (IGI) /HOMA-IR

Time frame:84 weeks of treatment

HOMA-IR (insulin sensitivity)

ratio, improvement

MASH / liver

6 endpoints
Secondary/registry result

Alanine Aminotransferase (ALT) Levels

Time frame:84 weeks of treatment

ALT, change

change from baseline, improvement

LOINC 1742-6

Posted result

GroupValue (mean), U/L95% CI
Metformin XR Plus Liraglutide32.3
Metformin XR Plus Placebo31
p>0.05ANOVA

Factorial repeated measures ANOVA

Secondary/registry result

Aspartate Aminotransferase (AST)

Time frame:84 weeks of treatment

AST, change

change from baseline, improvement

LOINC 1920-8

Posted result

GroupValue (mean), U/L95% CI
Metformin XR Plus Liraglutide27
Metformin XR Plus Placebo28
p>0.05ANOVA

Factorial repeated measures ANOVA

Secondary/registry result

Alanine Aminotransferase /Aspartate Aminotransferase (ALT/AST) Ratio

Time frame:84 weeks of treatment

ratio, improvement

Posted result

GroupValue (mean), ratio of ALT (U/L)/ AST (U/L)95% CI
Metformin XR Plus Liraglutide1.2
Metformin XR Plus Placebo1.18
p>0.05ANOVA

Factorial repeated measures ANOVA

Secondary/protocol endpoint

Alanine Aminotransferase (ALT) Levels

Time frame:84 weeks of treatment

ALT, change

change from baseline, improvement

LOINC 1742-6

Secondary/protocol endpoint

Aspartate Aminotransferase (AST)

Time frame:84 weeks of treatment

AST, change

change from baseline, improvement

LOINC 1920-8

Secondary/protocol endpoint

Alanine Aminotransferase /Aspartate Aminotransferase (ALT/AST) Ratio

Time frame:84 weeks of treatment

ratio, improvement

Cardiometabolic biomarkers

14 endpoints
Secondary/registry result

Total Cholesterol (CHOL) Levels

Time frame:84 weeks of treatment

Total cholesterol, change

change from baseline, improvement

LOINC 2093-3

Posted result

GroupValue (mean), mg/dL95% CI
Metformin XR Plus Liraglutide183.7
Metformin XR Plus Placebo183.8
p>0.05ANOVA

Factorial repeated measures ANOVA

Secondary/registry result

High Density Lipoprotein Cholesterol (HDL-C) Levels

Time frame:84 weeks of treatment

HDL-C, change

change from baseline, improvement

LOINC 2085-9

Posted result

GroupValue (mean), mg/dL95% CI
Metformin XR Plus Liraglutide51
Metformin XR Plus Placebo48.7
p>0.05ANOVA

Factorial repeated measures ANOVA

Secondary/registry result

Low Density Lipoprotein Cholesterol (LDL-C) Levels

Time frame:84 weeks of treatment

LDL-C, change

change from baseline, improvement

LOINC 13457-7

Posted result

GroupValue (mean), mg/dL95% CI
Metformin XR Plus Liraglutide110
Metformin XR Plus Placebo107
p>0.05ANOVA

Factorial repeated measures ANOVA

Secondary/registry result

Triglyceride (TRG) Levels

Time frame:84 weeks of treatment

Triglycerides, change

change from baseline, improvement

LOINC 2571-8

Posted result

GroupValue (mean), mg/dL95% CI
Metformin XR Plus Liraglutide120
Metformin XR Plus Placebo125
p<0.046ANOVA

Factorial repeated measures ANOVA

Secondary/registry result

Triglyceride to High Density Lipoprotein Cholesterol Ratio TRG/HDL-C)

Time frame:84 weeks of treatment

ratio, improvement

Posted result

GroupValue (mean), ratio of TRG (mg/dL)/HDL-C (mg/dl)95% CI
Metformin XR Plus Liraglutide2.56
Metformin XR Plus Placebo2.95
p<0.049ANOVA

Factorial repeated measures ANOVA

Secondary/registry result

Systolic Blood Pressure

Time frame:84 weeks of treatment

Systolic BP, change

change from baseline, improvement

LOINC 8480-6

Posted result

GroupValue (mean), mmHg95% CI
Metformin XR Plus Liraglutide122
Metformin XR Plus Placebo123
p>0.05ANOVA

Factorial repeated measures ANOVA

Secondary/registry result

Diastolic Blood Pressure

Time frame:84 weeks of treatment

Diastolic BP, change

change from baseline, improvement

LOINC 8462-4

Posted result

GroupValue (mean), mmHg95% CI
Metformin XR Plus Liraglutide77.6
Metformin XR Plus Placebo77
p>0.05ANOVA

Factorial repeated measures ANOVA

Secondary/protocol endpoint

Total Cholesterol (CHOL) Levels

Time frame:84 weeks of treatment

Total cholesterol, change

change from baseline, improvement

LOINC 2093-3

Secondary/protocol endpoint

High Density Lipoprotein Cholesterol (HDL-C) Levels

Time frame:84 weeks of treatment

HDL-C, change

change from baseline, improvement

LOINC 2085-9

Secondary/protocol endpoint

Low Density Lipoprotein Cholesterol (LDL-C) Levels

Time frame:84 weeks of treatment

LDL-C, change

change from baseline, improvement

LOINC 13457-7

Secondary/protocol endpoint

Triglyceride (TRG) Levels

Time frame:84 weeks of treatment

Triglycerides, change

change from baseline, improvement

LOINC 2571-8

Secondary/protocol endpoint

Triglyceride to High Density Lipoprotein Cholesterol Ratio TRG/HDL-C)

Time frame:84 weeks of treatment

ratio, improvement

Secondary/protocol endpoint

Systolic Blood Pressure

Time frame:84 weeks of treatment

Systolic BP, change

change from baseline, improvement

LOINC 8480-6

Secondary/protocol endpoint

Diastolic Blood Pressure

Time frame:84 weeks of treatment

Diastolic BP, change

change from baseline, improvement

LOINC 8462-4

Publications (1)

Bibliography

Records linked to this trial through ClinicalTrials.gov references, PubMed NCT search, and curated study seeds. 'Canonical' marks design/result papers; others are registry references or candidates.

Provenance

Sources

Trial identity, design, statusClinicalTrials.gov API v2
Snapshot dateJuly 1, 2026
Endpoint classificationDelfa endpoint taxonomy v2 (May 13, 2026)
Results tableClinicalTrials.gov results section

Trial facts come from public ClinicalTrials.gov records. Endpoint categories are Delfa's classification of those records, not a ClinicalTrials.gov field. All figures reflect the July 1, 2026 snapshot.