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CompletedPhase 3Results posted

A Study of Dulaglutide in Japanese Participants With Type 2 Diabetes Mellitus

A Phase 3 Study of LY2189265 Compared to Insulin Glargine in Patients With Type 2 Diabetes Mellitus on a Sulfonylurea and/or Biguanide

Asset

Dulaglutide

Subcutaneous · GLP-1 agonist

Listed sites

15

Recruiting sites

Enrollment

361

actual

Study population

Type 2 diabetes

Key I/E criteria

BMI 18.5-35HbA1c 7-10%

Primary endpoint

HbA1c, change

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 IDNCT01584232
Org study ID14359
Secondary IDH9X-JE-GBDYEli Lilly and Company

Timeline

Milestones

Study first posted2012-04-24estimated
Last update posted2014-10-20estimated
Results first posted2014-10-20estimated
Study start2012-04 (month precision)
Primary completion2013-07actual (month precision)
Study completion2013-07actual (month precision)

Assets

Investigational agents

Study populations

Who this study enrolls

Type 2 diabetes

Eligibility

Who can enroll

Minimum age20 Years
SexAll
Healthy volunteersNot accepted

Inclusion criteria

Participants who have had a diagnosis of type 2 diabetes mellitus for at least 6 months before screening
Participants who have been taking sulfonylurea (glibenclamide, gliclazide, or glimepiride) and/or biguanide (metformin or buformin). The dose of the drug(s) during the 8 weeks before screening must be stable
Participants who have a qualifying glycosylated hemoglobin (HbA1c) value of 7.0% to 10.0% at screening
Participants who have a body mass index (BMI) of 18.5 to 35.0 kilograms per meter squared (kg/m^2)

Exclusion criteria

Participants who have a diagnosis of type 1 diabetes
Participants who have previously been treated with any other glucagon-like peptide 1 (GLP-1) analog
Participants who have received therapy with an alpha-glucosidase inhibitor (a-GI), thiazolidinedione (TZD), glinide, or dipeptidyl peptidase-IV (DPP-IV) inhibitor within 3 months before screening
Participants who have been currently taking insulin or have had previous insulin treatment within 3 months before screening
Participants who have obvious clinical signs or symptoms of pancreatitis, a history of chronic pancreatitis, or acute pancreatitis at screening, as determined by the investigator. Participants who have a serum amylase concentration ≥ 3 times the upper limit of the reference range and/or a serum lipase concentration ≥ 2 times the upper limit of the reference range, as determined by the central laboratory at screening
Participants who have self or family history of medullary C-cell hyperplasia, focal hyperplasia, or medullary thyroid carcinoma (MTC)

Endpoints (12)

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

Glycemic / diabetes
8
Weight & body composition
2
Safety / tolerability / PK
2

Weight & body composition

2 endpoints
Secondary/registry result

Change From Baseline in Body Weight at 26 Weeks

Time frame:Baseline, 26 weeks

Body weight, absolute change (kg)

change from baseline, improvement

Posted result

GroupValue (least_squares_mean), kilograms (kg)95% CI
LY2189265 + OAM-0.48
Insulin Glargine + OAM0.94
LS Mean Difference-1.4295% CI-1.89-0.94p<0.001Mixed Models Analysis
Secondary/protocol endpoint

Change From Baseline in Body Weight at 26 Weeks

Time frame:Baseline, 26 weeks

Body weight, absolute change (kg)

change from baseline, improvement

Glycemic / diabetes

8 endpoints
Primary/registry result

Change From Baseline in Glycosylated Hemoglobin (HbA1c) at 26 Weeks

Time frame:Baseline, 26 weeks

HbA1c, change

change from baseline, improvement

LOINC 4548-4

Posted result

GroupValue (least_squares_mean), percentage of HbA1c95% CI
LY2189265 + OAM-1.44
Insulin Glargine + OAM-0.90
LS Mean Difference-0.5495% CI-0.67-0.41p<0.001Mixed Models Analysis
Primary/protocol endpoint

Change From Baseline in Glycosylated Hemoglobin (HbA1c) at 26 Weeks

Time frame:Baseline, 26 weeks

HbA1c, change

change from baseline, improvement

LOINC 4548-4

Secondary/registry result

Percentage of Participants Who Achieved Glycosylated Hemoglobin (HbA1c) <=6.5% or <7% at 26 Weeks

Time frame:Up to 26 weeks

HbA1c <6.5% achievement

threshold achievement, improvement

LOINC 4548-4

Posted result

GroupValue (number), percentage of participants95% CI
LY2189265 + OAMHbA1c <=6.5%51.1
HbA1c <7%71.3
Insulin Glargine + OAMHbA1c <=6.5%24.0
HbA1c <7%45.8
p<0.001Regression, Logistic
p<0.001Regression, Logistic
Secondary/registry result

Change From Baseline in Fasting Blood Glucose (FBG) at 26 Weeks

Time frame:Baseline, 26 weeks

Fasting glucose, change

change from baseline, improvement

LOINC 1558-6

Posted result

GroupValue (least_squares_mean), milligrams per deciliter (mg/dL)95% CI
LY2189265 + OAM-34.3
Insulin Glargine + OAM-37.8
LS Mean Difference3.595% CI-1.78.7p0.183Mixed Models Analysis
Secondary/registry result

Change From Baseline in 8-Point Self-Monitored Blood Glucose (SMBG) at 26 Weeks

Time frame:Baseline, Up to 26 weeks

change from baseline, improvement

Posted result

GroupValue (least_squares_mean), milligrams per deciliter (mg/dL)95% CI
LY2189265 + OAMPre-morning meal (n=178, 179)-33.49
2 hours post-morning meal (n=178, 179)-49.54
Pre-midday meal (n=178, 179)-36.16
2 hours post-midday meal (n=178, 179)-43.51
Pre-evening meal (n=178, 179)-31.14
2 hours post-evening meal (n=177, 178)-46.68
Bedtime (n=177, 172)-41.53
Second pre-morning meal (n=178, 179)-30.81
Insulin Glargine + OAMPre-morning meal (n=178, 179)-38.66
2 hours post-morning meal (n=178, 179)-36.14
Pre-midday meal (n=178, 179)-27.94
2 hours post-midday meal (n=178, 179)-20.30
Pre-evening meal (n=178, 179)-17.50
2 hours post-evening meal (n=177, 178)-15.55
Bedtime (n=177, 172)-17.79
Second pre-morning meal (n=178, 179)-37.02
LS Mean Difference5.1695% CI0.769.56p0.022ANCOVA
LS Mean Difference-13.4095% CI-22.28-4.52p0.003ANCOVA
LS Mean Difference-8.2295% CI-15.37-1.06p0.025ANCOVA
LS Mean Difference-23.2295% CI-31.92-14.51p<0.001ANCOVA
LS Mean Difference-13.6395% CI-21.03-6.24p<0.001ANCOVA
LS Mean Difference-31.1395% CI-39.26-23.00p<0.001ANCOVA
LS Mean Difference-23.7395% CI-31.68-15.79p<0.001ANCOVA
LS Mean Difference6.2195% CI1.9210.50p0.005ANCOVA
Secondary/protocol endpoint

Percentage of Participants Who Achieved Glycosylated Hemoglobin (HbA1c) <=6.5% or <7% at 26 Weeks

Time frame:Up to 26 weeks

HbA1c <6.5% achievement

threshold achievement, improvement

LOINC 4548-4

Secondary/protocol endpoint

Change From Baseline in Fasting Blood Glucose (FBG) at 26 Weeks

Time frame:Baseline, 26 weeks

Fasting glucose, change

change from baseline, improvement

LOINC 1558-6

Secondary/protocol endpoint

Change From Baseline in 8-Point Self-Monitored Blood Glucose (SMBG) at 26 Weeks

Time frame:Baseline, Up to 26 weeks

change from baseline, improvement

Safety / tolerability / PK

2 endpoints
Secondary/registry result

Percentage of Participants With Hypoglycemic Episodes

Time frame:Baseline through 26 Weeks

Documented hypoglycemia

threshold achievement, event

Posted result

GroupValue (number), percentage of participants95% CI
LY2189265 + OAM26.0
Insulin Glargine + OAM47.8
p<0.001Fisher Exact
Secondary/protocol endpoint

Percentage of Participants With Hypoglycemic Episodes

Time frame:Baseline through 26 Weeks

Documented hypoglycemia

threshold achievement, event

Publications (2)

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.