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Study · Randomized controlled trial · n = 1,228 · 2020

31 results

OR26-08 Efficacy and Safety of Higher Dulaglutide Doses (3.0 MG and 4.5 MG) When Added to Metformin in Patients With Type 2 Diabetes: A Phase 3, Randomized, Double-Blind, Parallel ARM Study (Award-11)

Frias J, Ruiz L, Li Y, Yu Z, Milicevic Z, Woodward B, Cox D

Journal of the Endocrine Society8 May 2020

PMCIDPMC7209020 (opens in a new tab)PepBankPUB-99025267

Summary

The text of this summary is not shown here, because the article license does not allow reuse. Read it at the source (opens in a new tab)

Text rights: CC BY-NC-ND. Results still quote short attributed sentences.

Results from this study31

31 results from studies that gave the peptide. 31 results from people.

  1. 01HumanRandomized controlled trialEfficacy outcome

    In patients with T2D, dulaglutide 1.5 mg reduced A1C by 1.53% under the efficacy estimand.

    In plain wordsIn patients with T2D, A1C decreased from baseline by 1.53% with dulaglutide 1.5 mg during treatment without rescue medication.

    Outcome
    DecreaseA1C change, efficacy estimand
    Study

    n: not reported in source

    Comparator
    Baseline
    Analysis
    Primary
    Outcome group
    Glycemic control · Metabolic and weight
    Studied dose
    1.5 mg once weekly · 36 weeksAs given in this study (human).

    Measurements

    A1C reduction
    1.53%
    1.5 mg efficacy estimand

    Source sentences

    Summary
    Using the efficacy estimand, the DU 3 mg and 4.5 mg doses were superior to the DU 1.5 mg dose for A1C change from BL (1.5 mg, 1.53%; 3 mg, 1.71% [p=0.003]; 4.5 mg, 1.87% [p<0.001]),
    3 context sentences
    Summary · context
    The primary objective was to demonstrate superiority of once-weekly DU 3 mg and/or 4.5 mg to DU 1.5 mg for A1C change from baseline (BL) at 36 weeks (wks) in patients (pts) with inadequately controlled T2D on metformin therapy.
    Summary · context
    Patients were randomized (1:1:1) to once-weekly DU 1.5 mg (n=612), DU 3 mg (n=616), and DU 4.5 mg (n=614).
    Summary · context
    Two estimands were defined for efficacy analyses: an efficacy estimand (data on-treatment without rescue medication) and a treatment-regimen estimand (all data regardless of adherence or initiation of rescue).
  2. 02HumanRandomized controlled trialEfficacy outcome

    In patients with T2D, dulaglutide 1.5 mg reduced A1C by 1.54% under the treatment-regimen estimand.

    In plain wordsIn patients with T2D, A1C decreased from baseline by 1.54% with dulaglutide 1.5 mg when all treatment data were included.

    Outcome
    DecreaseA1C change, treatment-regimen estimand
    Study

    n: not reported in source

    Comparator
    Baseline
    Analysis
    Primary
    Outcome group
    Glycemic control · Metabolic and weight
    Studied dose
    1.5 mg once weekly · 36 weeksAs given in this study (human).

    Measurements

    A1C reduction
    1.54%
    1.5 mg treatment-regimen estimand

    Source sentences

    Summary
    Using the treatment-regimen estimand, DU 4.5 mg was superior to DU 1.5 mg for A1C change, while the DU 3 mg dose did not achieve statistical significance (1.5 mg, 1.54%; 3.0 mg, 1.64% [p=0.096]; 4.5 mg, 1.77% [p<0.001]).
    3 context sentences
    Summary · context
    The primary objective was to demonstrate superiority of once-weekly DU 3 mg and/or 4.5 mg to DU 1.5 mg for A1C change from baseline (BL) at 36 weeks (wks) in patients (pts) with inadequately controlled T2D on metformin therapy.
    Summary · context
    Patients were randomized (1:1:1) to once-weekly DU 1.5 mg (n=612), DU 3 mg (n=616), and DU 4.5 mg (n=614).
    Summary · context
    Two estimands were defined for efficacy analyses: an efficacy estimand (data on-treatment without rescue medication) and a treatment-regimen estimand (all data regardless of adherence or initiation of rescue).
  3. 03HumanRandomized controlled trialEfficacy outcome

    In patients with T2D, dulaglutide 3 mg reduced A1C more than 1.5 mg under the efficacy estimand.

    In plain wordsIn patients with T2D, dulaglutide 3 mg reduced A1C more than 1.5 mg during treatment without rescue medication.

    Outcome
    DecreaseA1C change, efficacy estimand
    Study

    n: not reported in source

    Comparator
    Dulaglutide 1.5 mg
    Analysis
    Primary
    Outcome group
    Glycemic control · Metabolic and weight
    Studied dose
    3 mg once weekly · 36 weeksAs given in this study (human).

    Measurements

    A1C reduction
    1.71%
    3 mg efficacy estimand
    A1C reduction
    1.53%
    1.5 mg efficacy estimand

    Source sentences

    Summary
    Using the efficacy estimand, the DU 3 mg and 4.5 mg doses were superior to the DU 1.5 mg dose for A1C change from BL (1.5 mg, 1.53%; 3 mg, 1.71% [p=0.003]; 4.5 mg, 1.87% [p<0.001]),
    3 context sentences
    Summary · context
    The primary objective was to demonstrate superiority of once-weekly DU 3 mg and/or 4.5 mg to DU 1.5 mg for A1C change from baseline (BL) at 36 weeks (wks) in patients (pts) with inadequately controlled T2D on metformin therapy.
    Summary · context
    Patients were randomized (1:1:1) to once-weekly DU 1.5 mg (n=612), DU 3 mg (n=616), and DU 4.5 mg (n=614).
    Summary · context
    Two estimands were defined for efficacy analyses: an efficacy estimand (data on-treatment without rescue medication) and a treatment-regimen estimand (all data regardless of adherence or initiation of rescue).
  4. 04HumanRandomized controlled trialEfficacy outcome

    In patients with T2D, dulaglutide 4.5 mg reduced A1C more than 1.5 mg under the efficacy estimand.

    In plain wordsIn patients with T2D, dulaglutide 4.5 mg reduced A1C more than 1.5 mg during treatment without rescue medication.

    Outcome
    DecreaseA1C change, efficacy estimand
    Study

    n: not reported in source

    Comparator
    Dulaglutide 1.5 mg
    Analysis
    Primary
    Outcome group
    Glycemic control · Metabolic and weight
    Studied dose
    4.5 mg once weekly · 36 weeksAs given in this study (human).

    Measurements

    A1C reduction
    1.87%
    4.5 mg efficacy estimand
    A1C reduction
    1.53%
    1.5 mg efficacy estimand

    Source sentences

    Summary
    Using the efficacy estimand, the DU 3 mg and 4.5 mg doses were superior to the DU 1.5 mg dose for A1C change from BL (1.5 mg, 1.53%; 3 mg, 1.71% [p=0.003]; 4.5 mg, 1.87% [p<0.001]),
    3 context sentences
    Summary · context
    The primary objective was to demonstrate superiority of once-weekly DU 3 mg and/or 4.5 mg to DU 1.5 mg for A1C change from baseline (BL) at 36 weeks (wks) in patients (pts) with inadequately controlled T2D on metformin therapy.
    Summary · context
    Patients were randomized (1:1:1) to once-weekly DU 1.5 mg (n=612), DU 3 mg (n=616), and DU 4.5 mg (n=614).
    Summary · context
    Two estimands were defined for efficacy analyses: an efficacy estimand (data on-treatment without rescue medication) and a treatment-regimen estimand (all data regardless of adherence or initiation of rescue).
  5. 05HumanRandomized controlled trialEfficacy outcome

    In patients with T2D, A1C reduction did not differ significantly between dulaglutide 3 mg and 1.5 mg under the treatment-regimen estimand.

    In plain wordsIn patients with T2D, dulaglutide 3 mg did not significantly improve A1C reduction versus 1.5 mg when all treatment data were included.

    Outcome
    No significant changeA1C change, treatment-regimen estimand
    Study

    n: not reported in source

    Comparator
    Dulaglutide 1.5 mg
    Analysis
    Primary
    Outcome group
    Glycemic control · Metabolic and weight
    Studied dose
    3 mg once weekly · 36 weeksAs given in this study (human).

    Measurements

    A1C reduction
    1.64%
    3.0 mg treatment-regimen estimand
    A1C reduction
    1.54%
    1.5 mg treatment-regimen estimand

    Source sentences

    Summary
    Using the treatment-regimen estimand, DU 4.5 mg was superior to DU 1.5 mg for A1C change, while the DU 3 mg dose did not achieve statistical significance (1.5 mg, 1.54%; 3.0 mg, 1.64% [p=0.096]; 4.5 mg, 1.77% [p<0.001]).
    3 context sentences
    Summary · context
    The primary objective was to demonstrate superiority of once-weekly DU 3 mg and/or 4.5 mg to DU 1.5 mg for A1C change from baseline (BL) at 36 weeks (wks) in patients (pts) with inadequately controlled T2D on metformin therapy.
    Summary · context
    Patients were randomized (1:1:1) to once-weekly DU 1.5 mg (n=612), DU 3 mg (n=616), and DU 4.5 mg (n=614).
    Summary · context
    Two estimands were defined for efficacy analyses: an efficacy estimand (data on-treatment without rescue medication) and a treatment-regimen estimand (all data regardless of adherence or initiation of rescue).
  6. 06HumanRandomized controlled trialEfficacy outcome

    In patients with T2D, dulaglutide 4.5 mg reduced A1C more than 1.5 mg under the treatment-regimen estimand.

    In plain wordsIn patients with T2D, dulaglutide 4.5 mg reduced A1C more than 1.5 mg when all treatment data were included.

    Outcome
    DecreaseA1C change, treatment-regimen estimand
    Study

    n: not reported in source

    Comparator
    Dulaglutide 1.5 mg
    Analysis
    Primary
    Outcome group
    Glycemic control · Metabolic and weight
    Studied dose
    4.5 mg once weekly · 36 weeksAs given in this study (human).

    Measurements

    A1C reduction
    1.77%
    4.5 mg treatment-regimen estimand
    A1C reduction
    1.54%
    1.5 mg treatment-regimen estimand

    Source sentences

    Summary
    Using the treatment-regimen estimand, DU 4.5 mg was superior to DU 1.5 mg for A1C change, while the DU 3 mg dose did not achieve statistical significance (1.5 mg, 1.54%; 3.0 mg, 1.64% [p=0.096]; 4.5 mg, 1.77% [p<0.001]).
    3 context sentences
    Summary · context
    The primary objective was to demonstrate superiority of once-weekly DU 3 mg and/or 4.5 mg to DU 1.5 mg for A1C change from baseline (BL) at 36 weeks (wks) in patients (pts) with inadequately controlled T2D on metformin therapy.
    Summary · context
    Patients were randomized (1:1:1) to once-weekly DU 1.5 mg (n=612), DU 3 mg (n=616), and DU 4.5 mg (n=614).
    Summary · context
    Two estimands were defined for efficacy analyses: an efficacy estimand (data on-treatment without rescue medication) and a treatment-regimen estimand (all data regardless of adherence or initiation of rescue).
  7. 07HumanRandomized controlled trialEfficacy outcome

    In patients with T2D, 57% reached HbA1c below 7% with dulaglutide 1.5 mg under the efficacy estimand.

    In plain wordsIn patients with T2D, 57% reached the HbA1c target with dulaglutide 1.5 mg during treatment without rescue medication.

    Outcome
    Not applicableHbA1c below 7%, efficacy estimand
    Study

    n: not reported in source

    Analysis
    Secondary
    Outcome group
    Glycemic control · Metabolic and weight
    Studied dose
    1.5 mg once weekly · 36 weeksAs given in this study (human).

    Measurements

    HbA1c target attainment
    57%
    1.5 mg efficacy estimand

    Source sentences

    Summary
    % of patients achieving HbA1c <7% (1.5 mg, 57%; 3.0 mg, 65% [p=0.006]; 4.5 mg, 71% [p<0.001])
    3 context sentences
    Summary · context
    The primary objective was to demonstrate superiority of once-weekly DU 3 mg and/or 4.5 mg to DU 1.5 mg for A1C change from baseline (BL) at 36 weeks (wks) in patients (pts) with inadequately controlled T2D on metformin therapy.
    Summary · context
    Patients were randomized (1:1:1) to once-weekly DU 1.5 mg (n=612), DU 3 mg (n=616), and DU 4.5 mg (n=614).
    Summary · context
    Two estimands were defined for efficacy analyses: an efficacy estimand (data on-treatment without rescue medication) and a treatment-regimen estimand (all data regardless of adherence or initiation of rescue).
  8. 08HumanRandomized controlled trialEfficacy outcome

    In patients with T2D, dulaglutide 1.5 mg reduced weight by 3.1 kg under the efficacy estimand.

    In plain wordsIn patients with T2D, weight decreased from baseline by 3.1 kg with dulaglutide 1.5 mg during treatment without rescue medication.

    Outcome
    DecreaseBody weight change, efficacy estimand
    Study

    n: not reported in source

    Comparator
    Baseline
    Analysis
    Secondary
    Outcome group
    Body weight · Metabolic and weight
    Studied dose
    1.5 mg once weekly · 36 weeksAs given in this study (human).

    Measurements

    Weight reduction
    3.1 kg
    1.5 mg efficacy estimand

    Source sentences

    Summary
    and BW change from BL (1.5 mg, 3.1 kg; 3 mg, 4.0 kg [p=0.001]; 4.5 mg, 4.7 kg [p<0.001]).
    3 context sentences
    Summary · context
    The primary objective was to demonstrate superiority of once-weekly DU 3 mg and/or 4.5 mg to DU 1.5 mg for A1C change from baseline (BL) at 36 weeks (wks) in patients (pts) with inadequately controlled T2D on metformin therapy.
    Summary · context
    Patients were randomized (1:1:1) to once-weekly DU 1.5 mg (n=612), DU 3 mg (n=616), and DU 4.5 mg (n=614).
    Summary · context
    Two estimands were defined for efficacy analyses: an efficacy estimand (data on-treatment without rescue medication) and a treatment-regimen estimand (all data regardless of adherence or initiation of rescue).
  9. 09HumanRandomized controlled trialEfficacy outcome

    In patients with T2D, 50% reached A1C below 7% with dulaglutide 1.5 mg under the treatment-regimen estimand.

    In plain wordsIn patients with T2D, 50% reached the A1C target with dulaglutide 1.5 mg when all treatment data were included.

    Outcome
    Not applicableA1C below 7%, treatment-regimen estimand
    Study

    n: not reported in source

    Analysis
    Secondary
    Outcome group
    Glycemic control · Metabolic and weight
    Studied dose
    1.5 mg once weekly · 36 weeksAs given in this study (human).

    Measurements

    A1C target attainment
    50%
    1.5 mg treatment-regimen estimand

    Source sentences

    Summary
    Using the treatment-regimen estimand, more patients achieved A1C <7% with higher DU doses (1.5 mg, 50%; 3 mg, 56%; 4.5 mg, 62%)
    3 context sentences
    Summary · context
    The primary objective was to demonstrate superiority of once-weekly DU 3 mg and/or 4.5 mg to DU 1.5 mg for A1C change from baseline (BL) at 36 weeks (wks) in patients (pts) with inadequately controlled T2D on metformin therapy.
    Summary · context
    Patients were randomized (1:1:1) to once-weekly DU 1.5 mg (n=612), DU 3 mg (n=616), and DU 4.5 mg (n=614).
    Summary · context
    Two estimands were defined for efficacy analyses: an efficacy estimand (data on-treatment without rescue medication) and a treatment-regimen estimand (all data regardless of adherence or initiation of rescue).
  10. 10HumanRandomized controlled trialEfficacy outcome

    In patients with T2D, dulaglutide 1.5 mg reduced weight by 3.0 kg under the treatment-regimen estimand.

    In plain wordsIn patients with T2D, weight decreased from baseline by 3.0 kg with dulaglutide 1.5 mg when all treatment data were included.

    Outcome
    DecreaseBody weight change, treatment-regimen estimand
    Study

    n: not reported in source

    Comparator
    Baseline
    Analysis
    Secondary
    Outcome group
    Body weight · Metabolic and weight
    Studied dose
    1.5 mg once weekly · 36 weeksAs given in this study (human).

    Measurements

    Weight reduction
    3 kg
    1.5 mg treatment-regimen estimand

    Source sentences

    Summary
    and results for BW change were similar to the efficacy estimand (1.5 mg, 3.0 kg; 3 mg, 3.8 kg; 4.5 mg, 4.6 kg), but the approach for type I error control did not permit formal statistical comparisons of these secondary objectives using this estimand.
    3 context sentences
    Summary · context
    The primary objective was to demonstrate superiority of once-weekly DU 3 mg and/or 4.5 mg to DU 1.5 mg for A1C change from baseline (BL) at 36 weeks (wks) in patients (pts) with inadequately controlled T2D on metformin therapy.
    Summary · context
    Patients were randomized (1:1:1) to once-weekly DU 1.5 mg (n=612), DU 3 mg (n=616), and DU 4.5 mg (n=614).
    Summary · context
    Two estimands were defined for efficacy analyses: an efficacy estimand (data on-treatment without rescue medication) and a treatment-regimen estimand (all data regardless of adherence or initiation of rescue).
  11. 11HumanRandomized controlled trialEfficacy outcome

    In patients with T2D, more reached HbA1c below 7% with dulaglutide 3 mg than 1.5 mg under the efficacy estimand.

    In plain wordsIn patients with T2D, more reached the HbA1c target with dulaglutide 3 mg than 1.5 mg during treatment without rescue medication.

    Outcome
    IncreaseHbA1c below 7%, efficacy estimand
    Study

    n: not reported in source

    Comparator
    Dulaglutide 1.5 mg
    Analysis
    Secondary
    Outcome group
    Glycemic control · Metabolic and weight
    Studied dose
    3 mg once weekly · 36 weeksAs given in this study (human).

    Measurements

    HbA1c target attainment
    65%
    3.0 mg efficacy estimand
    HbA1c target attainment
    57%
    1.5 mg efficacy estimand

    Source sentences

    Summary
    % of patients achieving HbA1c <7% (1.5 mg, 57%; 3.0 mg, 65% [p=0.006]; 4.5 mg, 71% [p<0.001])
    3 context sentences
    Summary · context
    The primary objective was to demonstrate superiority of once-weekly DU 3 mg and/or 4.5 mg to DU 1.5 mg for A1C change from baseline (BL) at 36 weeks (wks) in patients (pts) with inadequately controlled T2D on metformin therapy.
    Summary · context
    Patients were randomized (1:1:1) to once-weekly DU 1.5 mg (n=612), DU 3 mg (n=616), and DU 4.5 mg (n=614).
    Summary · context
    Two estimands were defined for efficacy analyses: an efficacy estimand (data on-treatment without rescue medication) and a treatment-regimen estimand (all data regardless of adherence or initiation of rescue).
  12. 12HumanRandomized controlled trialEfficacy outcome

    In patients with T2D, more reached HbA1c below 7% with dulaglutide 4.5 mg than 1.5 mg under the efficacy estimand.

    In plain wordsIn patients with T2D, more reached the HbA1c target with dulaglutide 4.5 mg than 1.5 mg during treatment without rescue medication.

    Outcome
    IncreaseHbA1c below 7%, efficacy estimand
    Study

    n: not reported in source

    Comparator
    Dulaglutide 1.5 mg
    Analysis
    Secondary
    Outcome group
    Glycemic control · Metabolic and weight
    Studied dose
    4.5 mg once weekly · 36 weeksAs given in this study (human).

    Measurements

    HbA1c target attainment
    71%
    4.5 mg efficacy estimand
    HbA1c target attainment
    57%
    1.5 mg efficacy estimand

    Source sentences

    Summary
    % of patients achieving HbA1c <7% (1.5 mg, 57%; 3.0 mg, 65% [p=0.006]; 4.5 mg, 71% [p<0.001])
    3 context sentences
    Summary · context
    The primary objective was to demonstrate superiority of once-weekly DU 3 mg and/or 4.5 mg to DU 1.5 mg for A1C change from baseline (BL) at 36 weeks (wks) in patients (pts) with inadequately controlled T2D on metformin therapy.
    Summary · context
    Patients were randomized (1:1:1) to once-weekly DU 1.5 mg (n=612), DU 3 mg (n=616), and DU 4.5 mg (n=614).
    Summary · context
    Two estimands were defined for efficacy analyses: an efficacy estimand (data on-treatment without rescue medication) and a treatment-regimen estimand (all data regardless of adherence or initiation of rescue).
  13. 13HumanRandomized controlled trialEfficacy outcome

    In patients with T2D, dulaglutide 3 mg reduced weight more than 1.5 mg under the efficacy estimand.

    In plain wordsIn patients with T2D, dulaglutide 3 mg reduced weight more than 1.5 mg during treatment without rescue medication.

    Outcome
    DecreaseBody weight change, efficacy estimand
    Study

    n: not reported in source

    Comparator
    Dulaglutide 1.5 mg
    Analysis
    Secondary
    Outcome group
    Body weight · Metabolic and weight
    Studied dose
    3 mg once weekly · 36 weeksAs given in this study (human).

    Measurements

    Weight reduction
    4 kg
    3 mg efficacy estimand
    Weight reduction
    3.1 kg
    1.5 mg efficacy estimand

    Source sentences

    Summary
    and BW change from BL (1.5 mg, 3.1 kg; 3 mg, 4.0 kg [p=0.001]; 4.5 mg, 4.7 kg [p<0.001]).
    3 context sentences
    Summary · context
    The primary objective was to demonstrate superiority of once-weekly DU 3 mg and/or 4.5 mg to DU 1.5 mg for A1C change from baseline (BL) at 36 weeks (wks) in patients (pts) with inadequately controlled T2D on metformin therapy.
    Summary · context
    Patients were randomized (1:1:1) to once-weekly DU 1.5 mg (n=612), DU 3 mg (n=616), and DU 4.5 mg (n=614).
    Summary · context
    Two estimands were defined for efficacy analyses: an efficacy estimand (data on-treatment without rescue medication) and a treatment-regimen estimand (all data regardless of adherence or initiation of rescue).
  14. 14HumanRandomized controlled trialEfficacy outcome

    In patients with T2D, dulaglutide 4.5 mg reduced weight more than 1.5 mg under the efficacy estimand.

    In plain wordsIn patients with T2D, dulaglutide 4.5 mg reduced weight more than 1.5 mg during treatment without rescue medication.

    Outcome
    DecreaseBody weight change, efficacy estimand
    Study

    n: not reported in source

    Comparator
    Dulaglutide 1.5 mg
    Analysis
    Secondary
    Outcome group
    Body weight · Metabolic and weight
    Studied dose
    4.5 mg once weekly · 36 weeksAs given in this study (human).

    Measurements

    Weight reduction
    4.7 kg
    4.5 mg efficacy estimand
    Weight reduction
    3.1 kg
    1.5 mg efficacy estimand

    Source sentences

    Summary
    and BW change from BL (1.5 mg, 3.1 kg; 3 mg, 4.0 kg [p=0.001]; 4.5 mg, 4.7 kg [p<0.001]).
    3 context sentences
    Summary · context
    The primary objective was to demonstrate superiority of once-weekly DU 3 mg and/or 4.5 mg to DU 1.5 mg for A1C change from baseline (BL) at 36 weeks (wks) in patients (pts) with inadequately controlled T2D on metformin therapy.
    Summary · context
    Patients were randomized (1:1:1) to once-weekly DU 1.5 mg (n=612), DU 3 mg (n=616), and DU 4.5 mg (n=614).
    Summary · context
    Two estimands were defined for efficacy analyses: an efficacy estimand (data on-treatment without rescue medication) and a treatment-regimen estimand (all data regardless of adherence or initiation of rescue).
  15. 15HumanRandomized controlled trialEfficacy outcome

    In patients with T2D, A1C target attainment was descriptively higher with dulaglutide 3 mg than 1.5 mg under the treatment-regimen estimand.

    In plain wordsIn patients with T2D, more reached the A1C target with dulaglutide 3 mg than 1.5 mg, without a formal statistical comparison.

    Outcome
    IncreaseA1C below 7%, treatment-regimen estimand
    Study

    n: not reported in source

    Comparator
    Dulaglutide 1.5 mg
    Analysis
    Secondary
    Outcome group
    Glycemic control · Metabolic and weight
    Studied dose
    3 mg once weekly · 36 weeksAs given in this study (human).

    Measurements

    A1C target attainment
    56%
    3 mg treatment-regimen estimand
    A1C target attainment
    50%
    1.5 mg treatment-regimen estimand

    Source sentences

    Summary
    Using the treatment-regimen estimand, more patients achieved A1C <7% with higher DU doses (1.5 mg, 50%; 3 mg, 56%; 4.5 mg, 62%)
    4 context sentences
    Summary · context
    but the approach for type I error control did not permit formal statistical comparisons of these secondary objectives using this estimand.
    Summary · context
    The primary objective was to demonstrate superiority of once-weekly DU 3 mg and/or 4.5 mg to DU 1.5 mg for A1C change from baseline (BL) at 36 weeks (wks) in patients (pts) with inadequately controlled T2D on metformin therapy.
    Summary · context
    Patients were randomized (1:1:1) to once-weekly DU 1.5 mg (n=612), DU 3 mg (n=616), and DU 4.5 mg (n=614).
    Summary · context
    Two estimands were defined for efficacy analyses: an efficacy estimand (data on-treatment without rescue medication) and a treatment-regimen estimand (all data regardless of adherence or initiation of rescue).
  16. 16HumanRandomized controlled trialEfficacy outcome

    In patients with T2D, A1C target attainment was descriptively higher with dulaglutide 4.5 mg than 1.5 mg under the treatment-regimen estimand.

    In plain wordsIn patients with T2D, more reached the A1C target with dulaglutide 4.5 mg than 1.5 mg, without a formal statistical comparison.

    Outcome
    IncreaseA1C below 7%, treatment-regimen estimand
    Study

    n: not reported in source

    Comparator
    Dulaglutide 1.5 mg
    Analysis
    Secondary
    Outcome group
    Glycemic control · Metabolic and weight
    Studied dose
    4.5 mg once weekly · 36 weeksAs given in this study (human).

    Measurements

    A1C target attainment
    62%
    4.5 mg treatment-regimen estimand
    A1C target attainment
    50%
    1.5 mg treatment-regimen estimand

    Source sentences

    Summary
    Using the treatment-regimen estimand, more patients achieved A1C <7% with higher DU doses (1.5 mg, 50%; 3 mg, 56%; 4.5 mg, 62%)
    4 context sentences
    Summary · context
    but the approach for type I error control did not permit formal statistical comparisons of these secondary objectives using this estimand.
    Summary · context
    The primary objective was to demonstrate superiority of once-weekly DU 3 mg and/or 4.5 mg to DU 1.5 mg for A1C change from baseline (BL) at 36 weeks (wks) in patients (pts) with inadequately controlled T2D on metformin therapy.
    Summary · context
    Patients were randomized (1:1:1) to once-weekly DU 1.5 mg (n=612), DU 3 mg (n=616), and DU 4.5 mg (n=614).
    Summary · context
    Two estimands were defined for efficacy analyses: an efficacy estimand (data on-treatment without rescue medication) and a treatment-regimen estimand (all data regardless of adherence or initiation of rescue).
  17. 17HumanRandomized controlled trialEfficacy outcome

    In patients with T2D, dulaglutide 3 mg produced descriptively greater weight reduction than 1.5 mg under the treatment-regimen estimand.

    In plain wordsIn patients with T2D, dulaglutide 3 mg reduced weight more than 1.5 mg, without a formal statistical comparison.

    Outcome
    DecreaseBody weight change, treatment-regimen estimand
    Study

    n: not reported in source

    Comparator
    Dulaglutide 1.5 mg
    Analysis
    Secondary
    Outcome group
    Body weight · Metabolic and weight
    Studied dose
    3 mg once weekly · 36 weeksAs given in this study (human).

    Measurements

    Weight reduction
    3.8 kg
    3 mg treatment-regimen estimand
    Weight reduction
    3 kg
    1.5 mg treatment-regimen estimand

    Source sentences

    Summary
    and results for BW change were similar to the efficacy estimand (1.5 mg, 3.0 kg; 3 mg, 3.8 kg; 4.5 mg, 4.6 kg), but the approach for type I error control did not permit formal statistical comparisons of these secondary objectives using this estimand.
    3 context sentences
    Summary · context
    The primary objective was to demonstrate superiority of once-weekly DU 3 mg and/or 4.5 mg to DU 1.5 mg for A1C change from baseline (BL) at 36 weeks (wks) in patients (pts) with inadequately controlled T2D on metformin therapy.
    Summary · context
    Patients were randomized (1:1:1) to once-weekly DU 1.5 mg (n=612), DU 3 mg (n=616), and DU 4.5 mg (n=614).
    Summary · context
    Two estimands were defined for efficacy analyses: an efficacy estimand (data on-treatment without rescue medication) and a treatment-regimen estimand (all data regardless of adherence or initiation of rescue).
  18. 18HumanRandomized controlled trialEfficacy outcome

    In patients with T2D, dulaglutide 4.5 mg produced descriptively greater weight reduction than 1.5 mg under the treatment-regimen estimand.

    In plain wordsIn patients with T2D, dulaglutide 4.5 mg reduced weight more than 1.5 mg, without a formal statistical comparison.

    Outcome
    DecreaseBody weight change, treatment-regimen estimand
    Study

    n: not reported in source

    Comparator
    Dulaglutide 1.5 mg
    Analysis
    Secondary
    Outcome group
    Body weight · Metabolic and weight
    Studied dose
    4.5 mg once weekly · 36 weeksAs given in this study (human).

    Measurements

    Weight reduction
    4.6 kg
    4.5 mg treatment-regimen estimand
    Weight reduction
    3 kg
    1.5 mg treatment-regimen estimand

    Source sentences

    Summary
    and results for BW change were similar to the efficacy estimand (1.5 mg, 3.0 kg; 3 mg, 3.8 kg; 4.5 mg, 4.6 kg), but the approach for type I error control did not permit formal statistical comparisons of these secondary objectives using this estimand.
    3 context sentences
    Summary · context
    The primary objective was to demonstrate superiority of once-weekly DU 3 mg and/or 4.5 mg to DU 1.5 mg for A1C change from baseline (BL) at 36 weeks (wks) in patients (pts) with inadequately controlled T2D on metformin therapy.
    Summary · context
    Patients were randomized (1:1:1) to once-weekly DU 1.5 mg (n=612), DU 3 mg (n=616), and DU 4.5 mg (n=614).
    Summary · context
    Two estimands were defined for efficacy analyses: an efficacy estimand (data on-treatment without rescue medication) and a treatment-regimen estimand (all data regardless of adherence or initiation of rescue).
  19. 19HumanRandomized controlled trialSafety outcome

    In patients with T2D, adverse-event discontinuation was similar with dulaglutide 3 mg and 1.5 mg.

    In plain wordsIn patients with T2D, adverse-event discontinuation was similar with dulaglutide 3 mg and 1.5 mg.

    Outcome
    No significant changeDiscontinuation due to adverse events
    Study

    n = 1,228

    Comparator
    Dulaglutide 1.5 mg
    Outcome group
    Adverse events · Whole body
    Studied dose
    3 mg once weekly · 36 weeksAs given in this study (human).

    Measurements

    Discontinuation
    5.5%
    DU 3 mg
    Discontinuation
    4.2%
    DU 1.5 mg

    Source sentences

    Summary
    Treatment discontinuation due to adverse events through 36 wks was low and similar across dose groups (DU 1.5 mg, 4.2%; DU 3 mg, 5.5%; DU 4.5 mg, 5.0%).
    3 context sentences
    Summary · context
    The primary objective was to demonstrate superiority of once-weekly DU 3 mg and/or 4.5 mg to DU 1.5 mg for A1C change from baseline (BL) at 36 weeks (wks) in patients (pts) with inadequately controlled T2D on metformin therapy.
    Summary · context
    Patients were randomized (1:1:1) to once-weekly DU 1.5 mg (n=612), DU 3 mg (n=616), and DU 4.5 mg (n=614).
    Summary · context
    Two estimands were defined for efficacy analyses: an efficacy estimand (data on-treatment without rescue medication) and a treatment-regimen estimand (all data regardless of adherence or initiation of rescue).
  20. 20HumanRandomized controlled trialSafety outcome

    In patients with T2D, adverse-event discontinuation was similar with dulaglutide 4.5 mg and 1.5 mg.

    In plain wordsIn patients with T2D, adverse-event discontinuation was similar with dulaglutide 4.5 mg and 1.5 mg.

    Outcome
    No significant changeDiscontinuation due to adverse events
    Study

    n = 1,226

    Comparator
    Dulaglutide 1.5 mg
    Outcome group
    Adverse events · Whole body
    Studied dose
    4.5 mg once weekly · 36 weeksAs given in this study (human).

    Measurements

    Discontinuation
    5%
    DU 4.5 mg
    Discontinuation
    4.2%
    DU 1.5 mg

    Source sentences

    Summary
    Treatment discontinuation due to adverse events through 36 wks was low and similar across dose groups (DU 1.5 mg, 4.2%; DU 3 mg, 5.5%; DU 4.5 mg, 5.0%).
    3 context sentences
    Summary · context
    The primary objective was to demonstrate superiority of once-weekly DU 3 mg and/or 4.5 mg to DU 1.5 mg for A1C change from baseline (BL) at 36 weeks (wks) in patients (pts) with inadequately controlled T2D on metformin therapy.
    Summary · context
    Patients were randomized (1:1:1) to once-weekly DU 1.5 mg (n=612), DU 3 mg (n=616), and DU 4.5 mg (n=614).
    Summary · context
    Two estimands were defined for efficacy analyses: an efficacy estimand (data on-treatment without rescue medication) and a treatment-regimen estimand (all data regardless of adherence or initiation of rescue).
  21. 21HumanRandomized controlled trialSafety outcome

    In patients with T2D, nausea occurred in 15.6% with dulaglutide 3 mg.

    In plain wordsIn patients with T2D, nausea occurred in 15.6% with dulaglutide 3 mg.

    Outcome
    Not applicableNausea
    Study

    n = 616

    Outcome group
    Gastrointestinal adverse events · Gastrointestinal
    Studied dose
    3 mg once weekly · 36 weeksAs given in this study (human).

    Measurements

    Nausea
    15.6%
    DU 3 mg

    Source sentences

    Summary
    The most commonly reported adverse events were nausea (DU 1.5 mg, 13.4%; DU 3 mg, 15.6%; DU 4.5 mg, 16.4%),
    3 context sentences
    Summary · context
    The primary objective was to demonstrate superiority of once-weekly DU 3 mg and/or 4.5 mg to DU 1.5 mg for A1C change from baseline (BL) at 36 weeks (wks) in patients (pts) with inadequately controlled T2D on metformin therapy.
    Summary · context
    Patients were randomized (1:1:1) to once-weekly DU 1.5 mg (n=612), DU 3 mg (n=616), and DU 4.5 mg (n=614).
    Summary · context
    Two estimands were defined for efficacy analyses: an efficacy estimand (data on-treatment without rescue medication) and a treatment-regimen estimand (all data regardless of adherence or initiation of rescue).
  22. 22HumanRandomized controlled trialSafety outcome

    In patients with T2D, vomiting occurred in 8.3% with dulaglutide 3 mg.

    In plain wordsIn patients with T2D, vomiting occurred in 8.3% with dulaglutide 3 mg.

    Outcome
    Not applicableVomiting
    Study

    n = 616

    Outcome group
    Gastrointestinal adverse events · Gastrointestinal
    Studied dose
    3 mg once weekly · 36 weeksAs given in this study (human).

    Measurements

    Vomiting
    8.3%
    DU 3 mg

    Source sentences

    Summary
    vomiting (DU 1.5 mg, 5.6%; DU 3 mg, 8.3%; DU 4.5 mg, 9.3%),
    3 context sentences
    Summary · context
    The primary objective was to demonstrate superiority of once-weekly DU 3 mg and/or 4.5 mg to DU 1.5 mg for A1C change from baseline (BL) at 36 weeks (wks) in patients (pts) with inadequately controlled T2D on metformin therapy.
    Summary · context
    Patients were randomized (1:1:1) to once-weekly DU 1.5 mg (n=612), DU 3 mg (n=616), and DU 4.5 mg (n=614).
    Summary · context
    Two estimands were defined for efficacy analyses: an efficacy estimand (data on-treatment without rescue medication) and a treatment-regimen estimand (all data regardless of adherence or initiation of rescue).
  23. 23HumanRandomized controlled trialSafety outcome

    In patients with T2D, diarrhea occurred in 11.4% with dulaglutide 3 mg.

    In plain wordsIn patients with T2D, diarrhea occurred in 11.4% with dulaglutide 3 mg.

    Outcome
    Not applicableDiarrhea
    Study

    n = 616

    Outcome group
    Gastrointestinal adverse events · Gastrointestinal
    Studied dose
    3 mg once weekly · 36 weeksAs given in this study (human).

    Measurements

    Diarrhea
    11.4%
    DU 3 mg

    Source sentences

    Summary
    and diarrhea (DU 1.5 mg, 7.0%; DU 3 mg, 11.4%; DU 4.5 mg, 10.7%).
    3 context sentences
    Summary · context
    The primary objective was to demonstrate superiority of once-weekly DU 3 mg and/or 4.5 mg to DU 1.5 mg for A1C change from baseline (BL) at 36 weeks (wks) in patients (pts) with inadequately controlled T2D on metformin therapy.
    Summary · context
    Patients were randomized (1:1:1) to once-weekly DU 1.5 mg (n=612), DU 3 mg (n=616), and DU 4.5 mg (n=614).
    Summary · context
    Two estimands were defined for efficacy analyses: an efficacy estimand (data on-treatment without rescue medication) and a treatment-regimen estimand (all data regardless of adherence or initiation of rescue).
  24. 24HumanRandomized controlled trialSafety outcome

    In patients with T2D, nausea occurred in 16.4% with dulaglutide 4.5 mg.

    In plain wordsIn patients with T2D, nausea occurred in 16.4% with dulaglutide 4.5 mg.

    Outcome
    Not applicableNausea
    Study

    n = 614

    Outcome group
    Gastrointestinal adverse events · Gastrointestinal
    Studied dose
    4.5 mg once weekly · 36 weeksAs given in this study (human).

    Measurements

    Nausea
    16.4%
    DU 4.5 mg

    Source sentences

    Summary
    The most commonly reported adverse events were nausea (DU 1.5 mg, 13.4%; DU 3 mg, 15.6%; DU 4.5 mg, 16.4%),
    3 context sentences
    Summary · context
    The primary objective was to demonstrate superiority of once-weekly DU 3 mg and/or 4.5 mg to DU 1.5 mg for A1C change from baseline (BL) at 36 weeks (wks) in patients (pts) with inadequately controlled T2D on metformin therapy.
    Summary · context
    Patients were randomized (1:1:1) to once-weekly DU 1.5 mg (n=612), DU 3 mg (n=616), and DU 4.5 mg (n=614).
    Summary · context
    Two estimands were defined for efficacy analyses: an efficacy estimand (data on-treatment without rescue medication) and a treatment-regimen estimand (all data regardless of adherence or initiation of rescue).
  25. 25HumanRandomized controlled trialSafety outcome

    In patients with T2D, vomiting occurred in 9.3% with dulaglutide 4.5 mg.

    In plain wordsIn patients with T2D, vomiting occurred in 9.3% with dulaglutide 4.5 mg.

    Outcome
    Not applicableVomiting
    Study

    n = 614

    Outcome group
    Gastrointestinal adverse events · Gastrointestinal
    Studied dose
    4.5 mg once weekly · 36 weeksAs given in this study (human).

    Measurements

    Vomiting
    9.3%
    DU 4.5 mg

    Source sentences

    Summary
    vomiting (DU 1.5 mg, 5.6%; DU 3 mg, 8.3%; DU 4.5 mg, 9.3%),
    3 context sentences
    Summary · context
    The primary objective was to demonstrate superiority of once-weekly DU 3 mg and/or 4.5 mg to DU 1.5 mg for A1C change from baseline (BL) at 36 weeks (wks) in patients (pts) with inadequately controlled T2D on metformin therapy.
    Summary · context
    Patients were randomized (1:1:1) to once-weekly DU 1.5 mg (n=612), DU 3 mg (n=616), and DU 4.5 mg (n=614).
    Summary · context
    Two estimands were defined for efficacy analyses: an efficacy estimand (data on-treatment without rescue medication) and a treatment-regimen estimand (all data regardless of adherence or initiation of rescue).
  26. 26HumanRandomized controlled trialSafety outcome

    In patients with T2D, diarrhea occurred in 10.7% with dulaglutide 4.5 mg.

    In plain wordsIn patients with T2D, diarrhea occurred in 10.7% with dulaglutide 4.5 mg.

    Outcome
    Not applicableDiarrhea
    Study

    n = 614

    Outcome group
    Gastrointestinal adverse events · Gastrointestinal
    Studied dose
    4.5 mg once weekly · 36 weeksAs given in this study (human).

    Measurements

    Diarrhea
    10.7%
    DU 4.5 mg

    Source sentences

    Summary
    and diarrhea (DU 1.5 mg, 7.0%; DU 3 mg, 11.4%; DU 4.5 mg, 10.7%).
    3 context sentences
    Summary · context
    The primary objective was to demonstrate superiority of once-weekly DU 3 mg and/or 4.5 mg to DU 1.5 mg for A1C change from baseline (BL) at 36 weeks (wks) in patients (pts) with inadequately controlled T2D on metformin therapy.
    Summary · context
    Patients were randomized (1:1:1) to once-weekly DU 1.5 mg (n=612), DU 3 mg (n=616), and DU 4.5 mg (n=614).
    Summary · context
    Two estimands were defined for efficacy analyses: an efficacy estimand (data on-treatment without rescue medication) and a treatment-regimen estimand (all data regardless of adherence or initiation of rescue).
  27. 27HumanRandomized controlled trialSafety outcome

    In patients with T2D, nausea occurred in 13.4% with dulaglutide 1.5 mg.

    In plain wordsIn patients with T2D, nausea occurred in 13.4% with dulaglutide 1.5 mg.

    Outcome
    Not applicableNausea
    Study

    n = 612

    Outcome group
    Gastrointestinal adverse events · Gastrointestinal
    Studied dose
    1.5 mg once weekly · 36 weeksAs given in this study (human).

    Measurements

    Nausea
    13.4%
    DU 1.5 mg

    Source sentences

    Summary
    The most commonly reported adverse events were nausea (DU 1.5 mg, 13.4%; DU 3 mg, 15.6%; DU 4.5 mg, 16.4%),
    3 context sentences
    Summary · context
    The primary objective was to demonstrate superiority of once-weekly DU 3 mg and/or 4.5 mg to DU 1.5 mg for A1C change from baseline (BL) at 36 weeks (wks) in patients (pts) with inadequately controlled T2D on metformin therapy.
    Summary · context
    Patients were randomized (1:1:1) to once-weekly DU 1.5 mg (n=612), DU 3 mg (n=616), and DU 4.5 mg (n=614).
    Summary · context
    Two estimands were defined for efficacy analyses: an efficacy estimand (data on-treatment without rescue medication) and a treatment-regimen estimand (all data regardless of adherence or initiation of rescue).
  28. 28HumanRandomized controlled trialSafety outcome

    In patients with T2D, vomiting occurred in 5.6% with dulaglutide 1.5 mg.

    In plain wordsIn patients with T2D, vomiting occurred in 5.6% with dulaglutide 1.5 mg.

    Outcome
    Not applicableVomiting
    Study

    n = 612

    Outcome group
    Gastrointestinal adverse events · Gastrointestinal
    Studied dose
    1.5 mg once weekly · 36 weeksAs given in this study (human).

    Measurements

    Vomiting
    5.6%
    DU 1.5 mg

    Source sentences

    Summary
    vomiting (DU 1.5 mg, 5.6%; DU 3 mg, 8.3%; DU 4.5 mg, 9.3%),
    3 context sentences
    Summary · context
    The primary objective was to demonstrate superiority of once-weekly DU 3 mg and/or 4.5 mg to DU 1.5 mg for A1C change from baseline (BL) at 36 weeks (wks) in patients (pts) with inadequately controlled T2D on metformin therapy.
    Summary · context
    Patients were randomized (1:1:1) to once-weekly DU 1.5 mg (n=612), DU 3 mg (n=616), and DU 4.5 mg (n=614).
    Summary · context
    Two estimands were defined for efficacy analyses: an efficacy estimand (data on-treatment without rescue medication) and a treatment-regimen estimand (all data regardless of adherence or initiation of rescue).
  29. 29HumanRandomized controlled trialSafety outcome

    In patients with T2D, diarrhea occurred in 7.0% with dulaglutide 1.5 mg.

    In plain wordsIn patients with T2D, diarrhea occurred in 7.0% with dulaglutide 1.5 mg.

    Outcome
    Not applicableDiarrhea
    Study

    n = 612

    Outcome group
    Gastrointestinal adverse events · Gastrointestinal
    Studied dose
    1.5 mg once weekly · 36 weeksAs given in this study (human).

    Measurements

    Diarrhea
    7%
    DU 1.5 mg

    Source sentences

    Summary
    and diarrhea (DU 1.5 mg, 7.0%; DU 3 mg, 11.4%; DU 4.5 mg, 10.7%).
    3 context sentences
    Summary · context
    The primary objective was to demonstrate superiority of once-weekly DU 3 mg and/or 4.5 mg to DU 1.5 mg for A1C change from baseline (BL) at 36 weeks (wks) in patients (pts) with inadequately controlled T2D on metformin therapy.
    Summary · context
    Patients were randomized (1:1:1) to once-weekly DU 1.5 mg (n=612), DU 3 mg (n=616), and DU 4.5 mg (n=614).
    Summary · context
    Two estimands were defined for efficacy analyses: an efficacy estimand (data on-treatment without rescue medication) and a treatment-regimen estimand (all data regardless of adherence or initiation of rescue).
  30. 30HumanRandomized controlled trialSafety outcome

    In patients with T2D, 4.2% discontinued dulaglutide 1.5 mg because of adverse events.

    In plain wordsIn patients with T2D, 4.2% discontinued dulaglutide 1.5 mg because of adverse events.

    Outcome
    Not applicableDiscontinuation due to adverse events
    Study

    n = 612

    Outcome group
    Adverse events · Whole body
    Studied dose
    1.5 mg once weekly · 36 weeksAs given in this study (human).

    Measurements

    Discontinuation
    4.2%
    DU 1.5 mg

    Source sentences

    Summary
    Treatment discontinuation due to adverse events through 36 wks was low and similar across dose groups (DU 1.5 mg, 4.2%; DU 3 mg, 5.5%; DU 4.5 mg, 5.0%).
    3 context sentences
    Summary · context
    The primary objective was to demonstrate superiority of once-weekly DU 3 mg and/or 4.5 mg to DU 1.5 mg for A1C change from baseline (BL) at 36 weeks (wks) in patients (pts) with inadequately controlled T2D on metformin therapy.
    Summary · context
    Patients were randomized (1:1:1) to once-weekly DU 1.5 mg (n=612), DU 3 mg (n=616), and DU 4.5 mg (n=614).
    Summary · context
    Two estimands were defined for efficacy analyses: an efficacy estimand (data on-treatment without rescue medication) and a treatment-regimen estimand (all data regardless of adherence or initiation of rescue).
  31. 31HumanRandomized controlled trialSafety outcome

    In patients with T2D, higher dulaglutide doses had a safety profile consistent with 1.5 mg.

    In plain wordsIn patients with T2D, higher dulaglutide doses had a safety profile consistent with 1.5 mg.

    Outcome
    Not applicableOverall safety profile
    Study

    n: not reported in source

    Comparator
    Dulaglutide 1.5 mg
    Outcome group
    Adverse events · Whole body
    Studied dose
    3 mg and 4.5 mg once weekly · 36 weeksAs given in this study (human).

    Source sentences

    Summary
    The safety profile for the higher DU doses was consistent with that known for 1.5 mg.
    3 context sentences
    Summary · context
    The primary objective was to demonstrate superiority of once-weekly DU 3 mg and/or 4.5 mg to DU 1.5 mg for A1C change from baseline (BL) at 36 weeks (wks) in patients (pts) with inadequately controlled T2D on metformin therapy.
    Summary · context
    Patients were randomized (1:1:1) to once-weekly DU 1.5 mg (n=612), DU 3 mg (n=616), and DU 4.5 mg (n=614).
    Summary · context
    Two estimands were defined for efficacy analyses: an efficacy estimand (data on-treatment without rescue medication) and a treatment-regimen estimand (all data regardless of adherence or initiation of rescue).

AI wrote and checked these results. AI can make mistakes, so check important results against the source.

Version history

PepBank keeps every version of the data on this study. Status changes from Retraction Watch, Europe PMC and Crossref are listed with their source.

  1. Version 2Current

    22 Oct 2026, 02:26 UTC

    Study results updated

  2. Version 1

    21 Oct 2026, 18:59 UTC

    First added · source update from Europe PMC

Subjects

Terms as the source lists them.

Publication types

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