← Trials/Trial dossier/NCT01644500

AWARD-CHN1

CompletedPhase 3Results posted

A Study Comparing the Effects and Safety of Dulaglutide With Glimepiride in Type 2 Diabetes Mellitus

The Efficacy and Safety of Once-Weekly, Subcutaneous Dulaglutide Monotherapy Compared to Glimepiride in Patients With Type 2 Diabetes Mellitus

Asset

Dulaglutide

Subcutaneous · GLP-1 agonist

Listed sites

30

Recruiting sites

Enrollment

737

actual

Study population

Type 2 diabetes

Key I/E criteria

BMI 19-35HbA1c 7-10.5%

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 IDNCT01644500
Org study ID11991
Secondary IDH9X-JE-GBCGEli Lilly and Company

Timeline

Milestones

Study first posted2012-07-19estimated
Results first posted2015-12-17estimated
Last update posted2019-09-18actual
Study start2012-07 (month precision)
Primary completion2014-08actual (month precision)
Study completion2014-08actual (month precision)

Assets

Investigational agents

Study populations

Who this study enrolls

Type 2 diabetes

Eligibility

Who can enroll

Minimum age18 Years
SexAll
Healthy volunteersNot accepted

Inclusion criteria

Type 2 diabetes mellitus
OAM-naïve or have been taking OAM monotherapy for at least 3 months
Glycosylated Hemoglobin (HbA1c) value of ≥7.0% to ≤10.5% for OAM-naïve participants or ≥6.5% to ≤10.0% for participants taking OAM monotherapy
Adult men or adult non-pregnant, non-breastfeeding women
Stable weight (±5%) ≥3 months prior to screening
Body mass index (BMI) of ≥19.0 to ≤35.0 kilograms per square meter (kg/m^2)

Exclusion criteria

Have type 1 diabetes mellitus
Have previously been treated with a glucagon-like peptide-1 (GLP-1) receptor agonist, GLP-1 analog, or any other incretin mimetic during the 3 months before screening
Are currently taking dipeptidylpeptidase-IV (DPP-IV) inhibitor and thiazolidinediones (TZD) during the 3 months before screening
Have gastric emptying abnormality
Have cardiac disorder defined as unstable angina, myocardial infarction, coronary artery bypass graft surgery, percutaneous coronary intervention, heart failure, arrhythmia, transient ischemic attack, or stroke
Have poorly controlled hypertension (systolic blood pressure above 160 millimeters of mercury [mmHg] or diastolic blood pressure above 95 mmHg)
Have impaired liver function
Have impaired kidney function
Have history of chronic pancreatitis or acute pancreatitis
Have a serum calcitonin ≥20 picogram/milliliter (pg/mL)
Have a personal or family history of medullary C-cell hyperplasia, focal hyperplasia, carcinoma or multiple endocrine neoplasia type 2 (MEN 2)

Endpoints (42)

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

Safety / tolerability / PK
14
Glycemic / diabetes
12
Cardiometabolic biomarkers
6
Weight & body composition
4
Patient-reported / QoL
4
Cardiovascular outcomes
2

Cardiovascular outcomes

2 endpoints
Secondary/registry result

Number of Participants With Adjudicated Cardiovascular Events

Time frame:Baseline through 26 Weeks

Expanded / custom MACE composite

composite event, event

componentsAll-cause death, Myocardial infarction (any), Unstable angina hospitalization, Heart-failure hospitalization, Coronary revascularization, Stroke (any)

Posted result

GroupValue (number), number of participants95% CI
1.5 mg Dulaglutide0
0.75 mg Dulaglutide1
Glimepiride0
Secondary/protocol endpoint

Number of Participants With Adjudicated Cardiovascular Events

Time frame:Baseline through 26 Weeks

Expanded / custom MACE composite

composite event, event

componentsAll-cause death, Myocardial infarction (any), Unstable angina hospitalization, Heart-failure hospitalization, Coronary revascularization, Stroke (any)

Weight & body composition

4 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), kilogram (kg)95% CI
1.5 mg Dulaglutide-1.46
0.75 mg Dulaglutide-0.77
Glimepiride0.89
p<0.001Mixed Models Analysis
p<0.001Mixed Models Analysis
Secondary/registry result

Change From Baseline in Body Mass Index (BMI) at 26 Weeks

Time frame:Baseline, 26 Weeks

BMI, change

change from baseline, improvement

Posted result

GroupValue (least_squares_mean), kilograms per meter squared (kg/m^2)95% CI
1.5 mg Dulaglutide-0.55
0.75 mg Dulaglutide-0.29
Glimepiride0.32
p<0.001Mixed Models Analysis
p<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

Secondary/protocol endpoint

Change From Baseline in Body Mass Index (BMI) at 26 Weeks

Time frame:Baseline, 26 Weeks

BMI, change

change from baseline, improvement

Glycemic / diabetes

12 endpoints
Primary/registry result

Change From Baseline in 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
1.5 mg Dulaglutide-1.48
0.75 mg Dulaglutide-1.22
Glimepiride-0.92
Mean Difference (Net)-0.5895% CI-0.76-0.39p<0.001Mixed Models Analysis
Mean Difference (Net)-0.3295% CI-0.50-0.13p<0.001Mixed Models Analysis
Primary/protocol endpoint

Change From Baseline in HbA1c at 26 Weeks

Time frame:Baseline, 26 Weeks

HbA1c, change

change from baseline, improvement

LOINC 4548-4

Secondary/registry result

Percentage of Participants Attaining HbA1c of <7% or ≤6.5% at 26 Weeks

Time frame:26 Weeks

HbA1c <7.0% achievement

threshold achievement, improvement

LOINC 4548-4

Posted result

GroupValue (number), percentage of participants95% CI
1.5 mg DulaglutideHbA1c ≤6.5%59.4
HbA1c <7.0%74.1
0.75 mg DulaglutideHbA1c ≤6.5%47.7
HbA1c <7.0%63.6
GlimepirideHbA1c ≤6.5%41.3
HbA1c <7.0%57.4
Odds Ratio (OR)2.705% CI1.84.1p<0.001Fisher Exact
Odds Ratio (OR)1.695% CI1.02.3p<0.001Fisher Exact
Odds Ratio (OR)2.995% CI1.84.5p<0.001Fisher Exact
Odds Ratio (OR)1.695% CI1.12.5p0.192Fisher Exact
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), millimoles per liter (mmol/L)95% CI
1.5 mg Dulaglutide-2.71
0.75 mg Dulaglutide-2.26
Glimepiride-1.89
Mean Difference (Net)-0.8395% CI-1.15-0.51p<0.001Mixed Models Analysis
Mean Difference (Net)-0.3895% CI-0.70-0.05p0.022Mixed Models Analysis
Secondary/registry result

Change From Baseline in 7-point Self-monitored Blood Glucose (SMBG) Profiles at 26 Weeks

Time frame:Baseline, 26 Weeks

Postprandial glucose

change from baseline, improvement

Posted result

GroupValue (least_squares_mean), mmol/L95% CI
1.5 mg DulaglutideMorning (fasting)-2.47
Morning (2 hours post-prandial) meal-4.56
Midday (pre-prandial) meal-3.09
Midday (2 hours post-prandial) meal-4.15
Evening (pre-prandial) meal-2.36
Evening (2 hours post-prandial) meal-3.63
Bedtime-3.22
0.75 mg DulaglutideMorning (fasting)-1.91
Morning (2 hours post-prandial) meal-3.75
Midday (pre-prandial) meal-2.43
Midday (2 hours post-prandial) meal-3.40
Evening (pre-prandial) meal-1.77
Evening (2 hours post-prandial) meal-2.80
Bedtime-2.69
GlimepirideMorning (fasting)-1.80
Morning (2 hours post-prandial) meal-3.20
Midday (pre-prandial) meal-2.37
Midday (2 hours post-prandial) meal-2.58
Evening (pre-prandial) meal-1.69
Evening (2 hours post-prandial) meal-2.35
Bedtime-2.03
Mean Difference (Net)-0.6795% CI-0.89-0.45p<0.001Mixed Models Analysis
Mean Difference (Net)-0.1295% CI-0.340.11p0.304Mixed Models Analysis
Mean Difference (Net)-1.3695% CI-1.80-0.92p<0.001Mixed Models Analysis
Mean Difference (Net)-0.5595% CI-0.99-0.11p0.015Mixed Models Analysis
Mean Difference (Net)-0.7395% CI-1.10-0.36p<0.001Mixed Models Analysis
Mean Difference (Net)-0.0695% CI-0.430.31p0.740Mixed Models Analysis
Mean Difference (Net)-1.5695% CI-1.99-1.13p<0.001Mixed Models Analysis
Mean Difference (Net)-0.8195% CI-1.24-0.39p<0.001Mixed Models Analysis
Mean Difference (Net)-0.6795% CI-1.00-0.34p<0.001Mixed Models Analysis
Mean Difference (Net)-0.0895% CI-0.410.25p0.638Mixed Models Analysis
Mean Difference (Net)-1.2795% CI-1.68-0.87p<0.001Mixed Models Analysis
Mean Difference (Net)-0.4595% CI-0.85-0.04p0.030Mixed Models Analysis
Mean Difference (Net)-1.1995% CI-1.56-0.82p<0.001Mixed Models Analysis
Mean Difference (Net)-0.6695% CI-1.03-0.29p<0.001Mixed Models Analysis
Secondary/registry result

Change From Baseline in Homeostasis Model Assessment 2 Steady-state Beta (β) - Cell Function (HOMA2-%B) at 26 Weeks

Time frame:Baseline, up to 26 Weeks

change from baseline, improvement

Posted result

GroupValue (least_squares_mean), percentage of HOMA2-%B95% CI
1.5 mg DulaglutideInsulin-based HOMA-2%B47.40
C-peptide HOMA-2%B41.02
0.75 mg DulaglutideInsulin-based HOMA-2%B37.92
C-peptide HOMA-2%B34.57
GlimepirideInsulin-based HOMA-2%B30.00
C-peptide HOMA-2%B24.58
Mean Difference (Net)17.4195% CI11.2723.55p<0.001ANCOVA

Insulin HOMA2-%B

Mean Difference (Net)7.9295% CI1.7814.06p0.012ANCOVA

Insulin HOMA2%B

Mean Difference (Net)16.4495% CI11.8121.06p<0.001ANCOVA

C-Peptide-Based HOMA2-%B

Mean Difference (Net)9.9995% CI5.3614.62p<0.001ANCOVA

C-Peptide-Based HOMA2-%B

Secondary/registry result

Change From Baseline in Homeostasis Model Assessment 2 Insulin Sensitivity - Cell Function (HOMA2-%S) at 26 Weeks

Time frame:Baseline, up to 26 Weeks

HOMA-IR (insulin sensitivity)

change from baseline, improvement

Posted result

GroupValue (least_squares_mean), percentage of HOMA2-%S95% CI
1.5 mg DulaglutideInsulin-Based HOMA2-%S-6.85
C-Peptide-Based HOMA2-%S-6.44
0.75 mg DulaglutideInsulin-Based HOMA2-%S-10.33
C-Peptide-Based HOMA2-%S-11.84
GlimepirideInsulin-Based HOMA2-%S-7.19
C-Peptide-Based HOMA2-%S-5.05
Mean Difference (Net)0.3495% CI-5.836.51p0.913ANCOVA

Insulin-Based HOMA2%S

Mean Difference (Net)-3.1495% CI-9.303.03p0.318ANCOVA

Insulin-Based HOMA2%S

Mean Difference (Net)-1.3995% CI-6.273.49p0.576ANCOVA

C-Peptide-Based HOMA2-%S

Mean Difference (Net)-6.7995% CI-11.68-1.89p0.007ANCOVA

C-Peptide-Based HOMA2-%S

Secondary/protocol endpoint

Percentage of Participants Attaining HbA1c of <7% or ≤6.5% at 26 Weeks

Time frame:26 Weeks

threshold achievement, improvement

componentsHbA1c <7.0% achievement, HbA1c <6.5% achievement

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 7-point Self-monitored Blood Glucose (SMBG) Profiles at 26 Weeks

Time frame:Baseline, 26 Weeks

Postprandial glucose

change from baseline, improvement

Secondary/protocol endpoint

Change From Baseline in Homeostasis Model Assessment 2 Steady-state Beta (β) - Cell Function (HOMA2-%B) at 26 Weeks

Time frame:Baseline, up to 26 Weeks

change from baseline, improvement

Secondary/protocol endpoint

Change From Baseline in Homeostasis Model Assessment 2 Insulin Sensitivity - Cell Function (HOMA2-%S) at 26 Weeks

Time frame:Baseline, up to 26 Weeks

HOMA-IR (insulin sensitivity)

change from baseline, improvement

Cardiometabolic biomarkers

6 endpoints
Secondary/registry result

Change From Baseline in Sitting Blood Pressure at 26 Weeks

Time frame:Baseline, 26 Weeks

change from baseline, improvement

Posted result

GroupValue (least_squares_mean), millimeters of mercury (mmHg)95% CI
1.5 mg DulaglutideSBP-2.07
DBP-0.10
0.75 mg DulaglutideSBP-1.88
DBP-0.11
GlimepirideSBP-0.66
DBP0.15
p0.180Mixed Models Analysis
p0.245Mixed Models Analysis
p0.717Mixed Models Analysis
p0.619Mixed Models Analysis
Secondary/registry result

Change From Baseline in Sitting Pulse Rate at 26 Weeks

Time frame:Baseline, 26 Weeks

Heart rate, change

change from baseline, improvement

Posted result

GroupValue (least_squares_mean), beats per minute (bpm)95% CI
1.5 mg Dulaglutide3.07
0.75 mg Dulaglutide1.24
Glimepiride-0.34
p<0.001Mixed Models Analysis
p0.035Mixed Models Analysis
Secondary/registry result

Change From Baseline in Heart Rate From ECG at 26 Weeks

Time frame:Baseline, 26 Weeks

Heart rate, change

change from baseline, improvement

Posted result

GroupValue (mean), bpm95% CI
1.5 mg Dulaglutide3.99
0.75 mg Dulaglutide1.90
Glimepiride0.44
Secondary/protocol endpoint

Change From Baseline in Sitting Blood Pressure at 26 Weeks

Time frame:Baseline, 26 Weeks

change from baseline, improvement

Secondary/protocol endpoint

Change From Baseline in Sitting Pulse Rate at 26 Weeks

Time frame:Baseline, 26 Weeks

Heart rate, change

change from baseline, improvement

Secondary/protocol endpoint

Change From Baseline in Heart Rate From ECG at 26 Weeks

Time frame:Baseline, 26 Weeks

Heart rate, change

change from baseline, improvement

Patient-reported / QoL

4 endpoints
Secondary/registry result

European Quality of Life Questionnaire-5 Dimensions (EQ-5D) Health State Score Responses at 26 Weeks

Time frame:Week 26

EQ-5D index

categorical status, improvement

Posted result

GroupValue (number), participants95% CI
1.5 mg DulaglutideMobility - no problem217
Mobility - some problem4
Mobility - extreme problem0
Mobility - ambiguous0
Mobility - missing1
Self-care - no problem221
Self-care - some problem0
Self-care - extreme problem0
Self-care - ambiguous0
Self-care - missing1
Usual activities - no problems221
Usual activities - some problems0
Usual activities - extreme problems0
Usual activities - ambiguous0
Usual activities - missing1
Pain/Discomfort - no problems198
Pain/Discomfort - some problems23
Pain/Discomfort - extreme problems0
Pain/Discomfort - ambiguous0
Pain/Discomfort - missing1
Anxiety/Depression - no problems208
Anxiety/Depression - some problems13
Anxiety/Depression - extreme problems0
Anxiety/Depression - ambiguous0
Anxiety/Depression - missing1
0.75 mg DulaglutideMobility - no problem218
Mobility - some problem3
Mobility - extreme problem0
Mobility - ambiguous0
Mobility - missing3
Self-care - no problem220
Self-care - some problem1
Self-care - extreme problem0
Self-care - ambiguous0
Self-care - missing3
Usual activities - no problems219
Usual activities - some problems2
Usual activities - extreme problems0
Usual activities - ambiguous0
Usual activities - missing3
Pain/Discomfort - no problems192
Pain/Discomfort - some problems28
Pain/Discomfort - extreme problems0
Pain/Discomfort - ambiguous0
Pain/Discomfort - missing3
Anxiety/Depression - no problems214
Anxiety/Depression - some problems7
Anxiety/Depression - extreme problems0
Anxiety/Depression - ambiguous0
Anxiety/Depression - missing3
GlimepirideMobility - no problem224
Mobility - some problem6
Mobility - extreme problem0
Mobility - ambiguous0
Mobility - missing1
Self-care - no problem228
Self-care - some problem2
Self-care - extreme problem0
Self-care - ambiguous0
Self-care - missing1
Usual activities - no problems228
Usual activities - some problems2
Usual activities - extreme problems0
Usual activities - ambiguous0
Usual activities - missing1
Pain/Discomfort - no problems200
Pain/Discomfort - some problems29
Pain/Discomfort - extreme problems0
Pain/Discomfort - ambiguous0
Pain/Discomfort - missing1
Anxiety/Depression - no problems213
Anxiety/Depression - some problems17
Anxiety/Depression - extreme problems0
Anxiety/Depression - ambiguous0
Anxiety/Depression - missing1
Secondary/registry result

Visual Analog Scale (VAS) Score at 26 Weeks

Time frame:Week 26

EQ-5D VAS

descriptive, improvement

Posted result

GroupValue (mean), units on a scale95% CI
1.5 mg Dulaglutide85.72
0.75 mg Dulaglutide86.17
Glimepiride85.96
Secondary/protocol endpoint

European Quality of Life Questionnaire-5 Dimensions (EQ-5D) Health State Score Responses at 26 Weeks

Time frame:Week 26

EQ-5D index

descriptive

Secondary/protocol endpoint

Visual Analog Scale (VAS) Score at 26 Weeks

Time frame:Week 26

EQ-5D VAS

descriptive, improvement

Safety / tolerability / PK

14 endpoints
Secondary/registry result

Rate of Hypoglycemic Episodes

Time frame:Baseline through 26 Weeks

Documented hypoglycemia

event count, event

Posted result

GroupValue (mean), episodes/participant/30 days95% CI
1.5 mg DulaglutideAll Hypoglycemic Episodes0.01
Severe Hypoglycemic EpisodesNA
Nocturnal Hypoglycemic Episodes0.00
0.75 mg DulaglutideAll Hypoglycemic Episodes0.01
Severe Hypoglycemic EpisodesNA
Nocturnal Hypoglycemic Episodes0.00
GlimepirideAll Hypoglycemic Episodes0.09
Severe Hypoglycemic EpisodesNA
Nocturnal Hypoglycemic Episodes0.01
p<0.001Negative binomial regression model
p<0.001Negative binomial regression model
p0.008Negative binomial regression model
p0.006Negative binomial regression model
Secondary/registry result

Number of Participants With Self-Reported Hypoglycemic Episodes

Time frame:Baseline through 26 Weeks

Documented hypoglycemia

event count, event

Posted result

GroupValue (number), participants95% CI
1.5 mg Dulaglutide14
0.75 mg Dulaglutide9
Glimepiride38
p<0.001Fisher Exact
p<0.001Fisher Exact
Secondary/registry result

Change From Baseline in Pancreatic Enzymes at 26 Weeks

Time frame:Baseline, 26 Weeks

change from baseline, descriptive

Posted result

GroupValue (mean), units per liter (u/L)95% CI
1.5 mg DulaglutideTotal amylase9.29
Pancreas-derived amylase6.19
Lipase10.62
0.75 mg DulaglutideTotal amylase7.04
Pancreas-derived amylase4.92
Lipase9.28
GlimepirideTotal amylase3.79
Pancreas-derived amylase2.64
Lipase2.38
Secondary/registry result

Change From Baseline in Serum Calcitonin at 26 Weeks

Time frame:Baseline, 26 Weeks

Thyroid event

change from baseline, descriptive

Posted result

GroupValue (mean), picomoles per liter (pmol/L)95% CI
1.5 mg Dulaglutide-0.01
0.75 mg Dulaglutide-0.02
Glimepiride0.02
Secondary/registry result

Change From Baseline in Electrocardiogram (ECG) Parameters, Fridericia Corrected QT (QTcF) Interval and P-R Wave (PR) Interval at 26 Weeks

Time frame:Baseline, 26 Weeks

change from baseline, descriptive

componentsqtcF interval change, pr interval change

Posted result

GroupValue (mean), milliseconds (msec)95% CI
1.5 mg DulaglutideQT interval-6.18
PR interval3.73
0.75 mg DulaglutideQT interval-2.06
PR interval3.29
GlimepirideQT interval1.21
PR interval-0.23
Secondary/registry result

Percentage of Participants Developing Antibodies to Dulaglutide

Time frame:Baseline through 26 Weeks

Immunogenicity (ADA)

threshold achievement, event

Posted result

GroupValue (number), percentage of participants95% CI
1.5 mg Dulaglutide17
0.75 mg Dulaglutide8
Glimepiride4
Secondary/registry result

Number of Participants With Adjudicated Pancreatitis

Time frame:Baseline through 26 Weeks

Pancreatitis

event count, event

Posted result

GroupValue (number), participants95% CI
1.5 mg Dulaglutide7
0.75 mg Dulaglutide5
Glimepiride1
Secondary/protocol endpoint

Rate of Hypoglycemic Episodes

Time frame:Baseline through 26 Weeks

Documented hypoglycemia

event count, event

Secondary/protocol endpoint

Number of Participants With Self-Reported Hypoglycemic Episodes

Time frame:Baseline through 26 Weeks

Documented hypoglycemia

event count, event

Secondary/protocol endpoint

Change From Baseline in Pancreatic Enzymes at 26 Weeks

Time frame:Baseline, 26 Weeks

change from baseline, descriptive

Secondary/protocol endpoint

Change From Baseline in Serum Calcitonin at 26 Weeks

Time frame:Baseline, 26 Weeks

Thyroid event

change from baseline, descriptive

Secondary/protocol endpoint

Change From Baseline in Electrocardiogram (ECG) Parameters, Fridericia Corrected QT (QTcF) Interval and P-R Wave (PR) Interval at 26 Weeks

Time frame:Baseline, 26 Weeks

change from baseline, descriptive

Secondary/protocol endpoint

Percentage of Participants Developing Antibodies to Dulaglutide

Time frame:Baseline through 26 Weeks

Immunogenicity (ADA)

threshold achievement, event

Secondary/protocol endpoint

Number of Participants With Adjudicated Pancreatitis

Time frame:Baseline through 26 Weeks

Pancreatitis

event count, event

Publications (7)

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

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.