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Pharmacodynamic Effects of Lixisenatide Compared to Liraglutide in Patients With Type 2 Diabetes Not Adequately Controlled With Insulin Glargine With or Without Metformin
An Open-label, Randomized, Three-parallel-group Study on Pharmacodynamic Effects of 8-week QD Treatment With Lixisenatide Compared to Liraglutide in Patients With Type 2 Diabetes Not Adequately Controlled With Insulin Glargine With or Without Metformin
Lead sponsor
Assets
Liraglutide / Lixisenatide
Listed sites
8
Recruiting sites
—
Enrollment
142
actual
Study population
Type 2 diabetes
Key I/E criteria
•BMI 20-40•HbA1c 6.5-9.5%
Primary endpoint
•Postprandial glucose
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
Timeline
Milestones
Assets
Investigational agents
Study populations
Who this study enrolls
Eligibility
Who can enroll
Inclusion criteria
Exclusion criteria
The above information was not intended to contain all considerations relevant to a participant's potential participation in a clinical trial.
Endpoints (34)
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
Weight & body composition
4 endpointsChange From Baseline to Day 57 in Body Weight
Time frame:0.5 hours prior to standardized breakfast on Day -1 (Baseline); 0.5 hours prior to study drug administration on Day 57
Body weight, absolute change (kg)
change from baseline, improvement
Posted result
| Group | Value (least_squares_mean), kg | 95% CI |
|---|---|---|
| Lixisenatide 20 µg | -1.61 | — |
| Liraglutide 1.2 mg | -1.78 | — |
| Liraglutide 1.8 mg | -2.42 | — |
Change From Baseline to Day 57 in Waist Circumference
Time frame:0.5 hours prior to standardized breakfast on Day -1 (Baseline); 0.5 hours prior to IMP administration on Day 57
Waist circumference, change
change from baseline, improvement
Posted result
| Group | Value (mean), cm | 95% CI |
|---|---|---|
| Lixisenatide 20 µg | -1.40 | — |
| Liraglutide 1.2 mg | -1.93 | — |
| Liraglutide 1.8 mg | -2.12 | — |
Change From Baseline to Day 57 in Body Weight
Time frame:0.5 hours prior to standardized breakfast on Day -1 (Baseline); 0.5 hours prior to study drug administration on Day 57
Body weight, absolute change (kg)
change from baseline, improvement
Change From Baseline to Day 57 in Waist Circumference
Time frame:0.5 hours prior to standardized breakfast on Day -1 (Baseline); 0.5 hours prior to IMP administration on Day 57
Waist circumference, change
change from baseline, improvement
Glycemic / diabetes
20 endpointsChange From Baseline to Day 56 in Plasma Glucose Corrected Area Under The Plasma Concentration-Time Curve (AUC) From Time 0.5 Hours to 4.5 Hours
Time frame:0.5 (prior to standardized breakfast), 0.67, 0.84, 1, 1.5, 2, 2.5, 3.5, 4.5 hours on Day -3 (baseline); 0.5 (prior to standardized breakfast), 0.67, 0.84, 1, 1.5, 2, 2.5, 3.5, 4.5 hours post study drug administration on Day 56
Postprandial glucose
change from baseline, improvement
Posted result
| Group | Value (least_squares_mean), h*mmol/L | 95% CI |
|---|---|---|
| Lixisenatide 20 μg | -13.33 | — |
| Liraglutide 1.2 mg | -7.32 | — |
| Liraglutide 1.8 mg | -8.72 | — |
Change From Baseline to Day 56 in Plasma Glucose Corrected Area Under The Plasma Concentration-Time Curve (AUC) From Time 0.5 Hours to 4.5 Hours
Time frame:0.5 (prior to standardized breakfast), 0.67, 0.84, 1, 1.5, 2, 2.5, 3.5, 4.5 hours on Day -3 (baseline); 0.5 (prior to standardized breakfast), 0.67, 0.84, 1, 1.5, 2, 2.5, 3.5, 4.5 hours post study drug administration on Day 56
Postprandial glucose
change from baseline, improvement
Change From Baseline to Day 56 in Plasma Glucose Corrected AUC From Time 0.5 Hours to 5.5 Hours
Time frame:0.5 (prior to standardized breakfast), 0.67, 0.84, 1, 1.5, 2, 2.5, 3.5, 4.5, 5.5 hours on Day -3 (baseline); 0.5 (prior to standardized breakfast), 0.67, 0.84, 1, 1.5, 2, 2.5, 3.5, 4.5, 5.5 hours post study drug administration on Day 56
Postprandial glucose
change from baseline, improvement
Posted result
| Group | Value (least_squares_mean), h*mmol/L | 95% CI |
|---|---|---|
| Lixisenatide 20 µg | -13.82 | — |
| Liraglutide 1.2 mg | -9.09 | — |
| Liraglutide 1.8 mg | -10.33 | — |
Number of Participants With 2-Hour Post-prandial Plasma Glucose (PPG) <7.77 (mmol/L) at Day 56
Time frame:Day 56
Postprandial glucose
threshold achievement, improvement
Posted result
| Group | Value (number), participants | 95% CI |
|---|---|---|
| Lixisenatide 20 µg | 35 | — |
| Liraglutide 1.2 mg | 13 | — |
| Liraglutide 1.8 mg | 11 | — |
Change From Baseline to Day 56 in PPG Excursion
Time frame:0.67, 0.84, 1, 1.5, 2, 2.5, 3.5, 4.5, 5.5 hours on Day -3 (baseline); 0.67, 0.84, 1, 1.5, 2, 2.5, 3.5, 4.5, 5.5 hours post study drug administration on Day 56
Postprandial glucose
change from baseline, improvement
Posted result
| Group | Value (least_squares_mean), mmol/L | 95% CI |
|---|---|---|
| Lixisenatide 20 µg | -3.26 | — |
| Liraglutide 1.2 mg | -1.79 | — |
| Liraglutide 1.8 mg | -2.5 | — |
Change From Baseline to Day 56 in Fasting Plasma Glucose (FPG)
Time frame:0.5 hour (prior to standardized breakfast) on Day -3; 0.5 hour (prior to standardized breakfast) on Day 56
Fasting glucose, change
change from baseline, improvement
LOINC 1558-6
Posted result
| Group | Value (least_squares_mean), mmol/L | 95% CI |
|---|---|---|
| Lixisenatide 20 µg | 0.1 | — |
| Liraglutide 1.2 mg | 0.12 | — |
| Liraglutide 1.8 mg | 0.13 | — |
Change From Baseline to Day 56 in Average 7-Point Self-Monitored Plasma Glucose (SMPG)
Time frame:Before breakfast, 2 hours post breakfast, before lunch, 2 hours post lunch, before dinner, 2 hours post dinner, and at bedtime on Day -3 (Baseline) and on Day 56
change from baseline, improvement
Posted result
| Group | Value (mean), mmol/L | 95% CI |
|---|---|---|
| Lixisenatide 20 µg | -0.69 | — |
| Liraglutide 1.2 mg | -0.76 | — |
| Liraglutide 1.8 mg | -1.2 | — |
Change From Baseline to Day 56 in Corrected C-Peptide AUC From Time 0.5 Hours to 5.5 Hours
Time frame:0.5 (prior to standardized breakfast), 0.67, 0.84, 1, 1.5, 2, 2.5, 3.5, 4.5, 5.5 hours on Day-3 (baseline); 0.5 (prior to standardized breakfast), 0.67, 0.84, 1, 1.5, 2, 2.5, 3.5, 4.5, 5.5 hours post study drug administration on Day 56
C-peptide AUC
change from baseline, improvement
Posted result
| Group | Value (least_squares_mean), h*nmol/L | 95% CI |
|---|---|---|
| Lixisenatide 20 µg | -1.16 | — |
| Liraglutide 1.2 mg | 1.23 | — |
| Liraglutide 1.8 mg | 0.88 | — |
Change From Baseline to Day 56 in Corrected Glucagon AUC From Time 0.5 Hours to 5.5 Hours
Time frame:0.5 (prior to standardized breakfast), 0.67, 0.84, 1, 1.5, 2, 2.5, 3.5, 4.5, 5.5 hours on Day -3 (baseline); 0.5 (prior to standardized breakfast), 0.67, 0.84, 1, 1.5, 2, 2.5, 3.5, 4.5, 5.5 hours post study drug administration on Day 56
change from baseline, improvement
Posted result
| Group | Value (least_squares_mean), h*ng/L | 95% CI |
|---|---|---|
| Lixisenatide 20 µg | -16.56 | — |
| Liraglutide 1.2 mg | 11.58 | — |
| Liraglutide 1.8 mg | 5.6 | — |
Change From Baseline to Day 56 in HbA1c
Time frame:Pre-dose (Hour 0) on Day 1 (Baseline) and Day 56
HbA1c, change
change from baseline, improvement
LOINC 4548-4
Posted result
| Group | Value (least_squares_mean), percentage of HbA1c | 95% CI |
|---|---|---|
| Lixisenatide 20 µg | -0.58 | — |
| Liraglutide 1.2 mg | -0.66 | — |
| Liraglutide 1.8 mg | -0.74 | — |
Change From Baseline to Day 56 in Average Daily Insulin Glargine Dose
Time frame:Day -7 (Baseline), Day 56
change from baseline, improvement
Posted result
| Group | Value (mean), units | 95% CI |
|---|---|---|
| Lixisenatide 20 µg | -4.7 | — |
| Liraglutide 1.2 mg | -4.6 | — |
| Liraglutide 1.8 mg | -4.0 | — |
Change From Baseline to Day 56 in Plasma Glucose Corrected AUC From Time 0.5 Hours to 5.5 Hours
Time frame:0.5 (prior to standardized breakfast), 0.67, 0.84, 1, 1.5, 2, 2.5, 3.5, 4.5, 5.5 hours on Day -3 (baseline); 0.5 (prior to standardized breakfast), 0.67, 0.84, 1, 1.5, 2, 2.5, 3.5, 4.5, 5.5 hours post study drug administration on Day 56
Postprandial glucose
change from baseline, improvement
Number of Participants With 2-Hour Post-prandial Plasma Glucose (PPG) <7.77 (mmol/L) at Day 56
Time frame:Day 56
Postprandial glucose
threshold achievement, improvement
Change From Baseline to Day 56 in PPG Excursion
Time frame:0.67, 0.84, 1, 1.5, 2, 2.5, 3.5, 4.5, 5.5 hours on Day -3 (baseline); 0.67, 0.84, 1, 1.5, 2, 2.5, 3.5, 4.5, 5.5 hours post study drug administration on Day 56
Postprandial glucose
change from baseline, improvement
Change From Baseline to Day 56 in Fasting Plasma Glucose (FPG)
Time frame:0.5 hour (prior to standardized breakfast) on Day -3; 0.5 hour (prior to standardized breakfast) on Day 56
Fasting glucose, change
change from baseline, improvement
LOINC 1558-6
Change From Baseline to Day 56 in Average 7-Point Self-Monitored Plasma Glucose (SMPG)
Time frame:Before breakfast, 2 hours post breakfast, before lunch, 2 hours post lunch, before dinner, 2 hours post dinner, and at bedtime on Day -3 (Baseline) and on Day 56
change from baseline, improvement
Change From Baseline to Day 56 in Corrected C-Peptide AUC From Time 0.5 Hours to 5.5 Hours
Time frame:0.5 (prior to standardized breakfast), 0.67, 0.84, 1, 1.5, 2, 2.5, 3.5, 4.5, 5.5 hours on Day-3 (baseline); 0.5 (prior to standardized breakfast), 0.67, 0.84, 1, 1.5, 2, 2.5, 3.5, 4.5, 5.5 hours post study drug administration on Day 56
C-peptide AUC
change from baseline, improvement
Change From Baseline to Day 56 in Corrected Glucagon AUC From Time 0.5 Hours to 5.5 Hours
Time frame:0.5 (prior to standardized breakfast), 0.67, 0.84, 1, 1.5, 2, 2.5, 3.5, 4.5, 5.5 hours on Day -3 (baseline); 0.5 (prior to standardized breakfast), 0.67, 0.84, 1, 1.5, 2, 2.5, 3.5, 4.5, 5.5 hours post study drug administration on Day 56
change from baseline, improvement
Change From Baseline to Day 56 in HbA1c
Time frame:Pre-dose (Hour 0) on Day 1 (Baseline) and Day 56
HbA1c, change
change from baseline, improvement
LOINC 4548-4
Change From Baseline to Day 56 in Average Daily Insulin Glargine Dose
Time frame:Day -7 (Baseline), Day 56
change from baseline, improvement
Cardiometabolic biomarkers
4 endpointsChange From Baseline to Day 57/58 in 24-Hour Mean Heart Rate
Time frame:Every 15 minutes from 07:00 clock time to 23:00 clock time (day-time) and every 30 minutes from 23:00 clock time to 07:00 clock time (night-time) on Day -2/-1 (Baseline) and Day 57/58
Heart rate, change
change from baseline, improvement
Posted result
| Group | Value (least_squares_mean), beats per minute | 95% CI |
|---|---|---|
| Lixisenatide 20 µg | 3.34 | — |
| Liraglutide 1.2 mg | 9.33 | — |
| Liraglutide 1.8 mg | 9.17 | — |
Change From Baseline to Day 57/58 in 24-Hour Mean Systolic Blood Pressure and Diastolic Blood Pressure
Time frame:Every 15 minutes from 07:00 clock time to 23:00 clock time (day-time) and every 30 minutes from 23:00 clock time to 07:00 clock time (night-time) on Day -2/ -1 (Baseline) and Day 57/58
Systolic BP, change
change from baseline, improvement
componentsSystolic BP, change, Diastolic BP, change
LOINC 8480-6
Posted result
| Group | Value (mean), mmHg | 95% CI |
|---|---|---|
| Lixisenatide 20 µg24-Hour Mean Systolic Blood Pressure | 0.4 | — |
| 24-Hour Mean Diastolic Blood Pressure | 0.8 | — |
| Liraglutide 1.2 mg24-Hour Mean Systolic Blood Pressure | -0.5 | — |
| 24-Hour Mean Diastolic Blood Pressure | 2.4 | — |
| Liraglutide 1.8 mg24-Hour Mean Systolic Blood Pressure | -2.5 | — |
| 24-Hour Mean Diastolic Blood Pressure | 1.6 | — |
Change From Baseline to Day 57/58 in 24-Hour Mean Heart Rate
Time frame:Every 15 minutes from 07:00 clock time to 23:00 clock time (day-time) and every 30 minutes from 23:00 clock time to 07:00 clock time (night-time) on Day -2/-1 (Baseline) and Day 57/58
Heart rate, change
change from baseline, improvement
Change From Baseline to Day 57/58 in 24-Hour Mean Systolic Blood Pressure and Diastolic Blood Pressure
Time frame:Every 15 minutes from 07:00 clock time to 23:00 clock time (day-time) and every 30 minutes from 23:00 clock time to 07:00 clock time (night-time) on Day -2/ -1 (Baseline) and Day 57/58
Systolic BP, change
change from baseline, improvement
LOINC 8480-6
Patient-reported / QoL
2 endpointsChange From Baseline to Day 56 in the Cumulative Score Mean on the Appetite Perception Using a Visual Analogue Scale After Standardized Solid Breakfast
Time frame:0.5 (8:00 clock time, prior to standardized breakfast), 1.5, 2.5, 3.5, 4.5, 5.5 hours on Day -3; 0 (prior to standardized breakfast), 1.5, 2.5, 3.5, 4.5, 5.5 hours post study drug administration on Day 56
change from baseline, improvement
Posted result
| Group | Value (mean), mm | 95% CI |
|---|---|---|
| Lixisenatide 20 µgHow hungry do you feel? | -3.7 | — |
| How satisfied do you feel? | 4.5 | — |
| How full do you feel? | 4.9 | — |
| How much do you think you can eat? | -6.4 | — |
| Liraglutide 1.2 mgHow hungry do you feel? | -3.1 | — |
| How satisfied do you feel? | 8.9 | — |
| How full do you feel? | 9.3 | — |
| How much do you think you can eat? | -4.5 | — |
| Liraglutide 1.8 mgHow hungry do you feel? | -1.0 | — |
| How satisfied do you feel? | 3.6 | — |
| How full do you feel? | 6.4 | — |
| How much do you think you can eat? | -7.2 | — |
Change From Baseline to Day 56 in the Cumulative Score Mean on the Appetite Perception Using a Visual Analogue Scale After Standardized Solid Breakfast
Time frame:0.5 (8:00 clock time, prior to standardized breakfast), 1.5, 2.5, 3.5, 4.5, 5.5 hours on Day -3; 0 (prior to standardized breakfast), 1.5, 2.5, 3.5, 4.5, 5.5 hours post study drug administration on Day 56
change from baseline, improvement
Other clinical outcomes
3 endpointsChange From Baseline to Day 55 in Gastric Emptying Half Life (t1/2)
Time frame:0 (prior to standardized breakfast), 0.75, 1, 1.25, 1.5, 1.75, 2, 2.25, 2.5, 3, 3.5, 4, 4.5, 5, 5.5 hours on Day -4 (baseline) and on Day 55
change from baseline, descriptive
Posted result
| Group | Value (least_squares_mean), minutes (min) | 95% CI |
|---|---|---|
| Lixisenatide 20 µg | 453.56 | — |
| Liraglutide 1.2 mg | 175.31 | — |
| Liraglutide 1.8 mg | 130.49 | — |
Change From Baseline to Day 55 in Gastric Emptying Coefficient
Time frame:0 (7:30 clock time, prior to standardized breakfast), 0.75, 1, 1.25, 1.5, 1.75, 2, 2.25, 2.5, 3, 3.5, 4, 4.5, 5, 5.5 hours on Day -4 (baseline) and on Day 55
change from baseline, descriptive
Posted result
| Group | Value (mean), coefficient (unit-less) | 95% CI |
|---|---|---|
| Lixisenatide 20 µg | -0.33 | — |
| Liraglutide 1.2 mg | -0.34 | — |
| Liraglutide 1.8 mg | -0.28 | — |
Change From Baseline to Day 55 in Gastric Emptying Half Life (t1/2)
Time frame:0 (prior to standardized breakfast), 0.75, 1, 1.25, 1.5, 1.75, 2, 2.25, 2.5, 3, 3.5, 4, 4.5, 5, 5.5 hours on Day -4 (baseline) and on Day 55
change from baseline, improvement
Other (unclassified)
1 endpointChange From Baseline to Day 55 in Gastric Emptying Coefficient
Time frame:0 (7:30 clock time, prior to standardized breakfast), 0.75, 1, 1.25, 1.5, 1.75, 2, 2.25, 2.5, 3, 3.5, 4, 4.5, 5, 5.5 hours on Day -4 (baseline) and on Day 55
change from baseline, descriptive
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.
Registry references + supporting bibliography
- Diabetes care2015 Jul (month)PMID25887358doi:10.2337/dc14-1984via CT.gov reference + pubmed nct search
Provenance
Sources
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.