Skip to content

Trial · Interventional

CompletedPhase 3Results postedRegistry data

Efficacy and Safety of Liraglutide in Combination With Metformin Compared to Metformin Alone, in Children and Adolescents With Type 2 Diabetes

Short name Ellipse™

NCTNCT01541215 (opens ClinicalTrials.gov in a new tab)Other idNN2211-3659Other id2011-002605-29Other idP/288/2010Other idU1111-1121-8743

Overview

Status
Completed
Phase
Phase 3
Enrollment
135 participants (actual)
Sponsor
Novo Nordisk A/S · Industry
Design
Randomized · Double masking
Countries
30 countries

United States, Australia, Austria, Belgium, Brazil, Canada, Croatia, Denmark, Egypt, France, Germany, Greece, Hungary, India, Israel, Italy, Lebanon, Malaysia, Mexico, Morocco, Netherlands, New Zealand, North Macedonia, Norway, Poland, Portugal, Puerto Rico, Romania, Russia, Serbia

Start
13 Nov 2012
Primary completion
15 Nov 2017
Completion
20 May 2020
First posted
29 Feb 2012 (estimated)
Last update posted
2 Jul 2021
Conditions
Diabetes · Diabetes Mellitus, Type 2

Timeline

1 trial · 1 completed · 1 with posted results

  • Completed
  • Ongoing
  • Not yet recruiting
  • Stopped
  • Estimated dates (est.)
  • Results posted
20122014201620182020
  1. Ph 3

    Ellipse™

    NCT01541215

    13 Nov 2012 to 20 May 2020

Registry summary

Text and fields below are the sponsor's entries at ClinicalTrials.gov, shown as posted.

This trial is conducted globally. The aim of this trial is to assess the efficacy and safety of liraglutide in the paediatric population in order to potentially address the unmet need for treatment of children and adolescents with type 2 diabetes.

Interventions

  • liraglutideDrug
  • placeboDrug
  • metforminDrug

Arms2

  • Experimental

    Lira + Met

  • Placebo comparator

    Placebo + Met

Primary outcomes1

Outcomes the sponsor listed as primary.

  1. Change in HbA1c (Glycosylated Haemoglobin)

    Time frame · Week 0, week 26

    Registry description

    Change in HbA1c from baseline to week 26. All available data were used for the primary analysis, including data collected after treatment discontinuation and initiation of rescue medication.

Secondary outcomes(20)
  1. Change From Baseline in Fasting Plasma Glucose (FPG)

    Time frame · Week 0, week 26

    Registry description

    Change in FPG from baseline to week 26. All available data were used for the analysis, including data collected after treatment discontinuation and initiation of rescue medication.

  2. Number of Subjects Having HbA1c Below 7.0%

    Time frame · Week 26

    Registry description

    Percentage of subjects having HbA1c \<7.0%. All available data were used for the analysis including data collected after treatment discontinuation and initiation of rescue medication.

  3. Change From Baseline in Body Mass Index (BMI) Standard Deviation Score (SDS)

    Time frame · Week 0, week 26

    Registry description

    Change in BMI SDS from baseline to week 26. BMI SDS was calculated using the following formula: Z=\[(value /M)\^L - 1\] / S\*L; where L, M and S are median (M), skewness (L) and variation coefficient (S) of children/adolescents' BMI provided for each sex and age. For each subject, a standard deviation score Z (SDS) was calculated based on age and sex referring to the values L, M and S. The method is described in the world health organisation (WHO) Multicentre Growth Reference, which also contains the values for L, M and S by age and sex. For Z (SDS) scores below -3 and above 3, the score was adjusted as described in the WHO instruction. All available data were used for the analysis including data collected after treatment discontinuation and initiation of rescue medication.

  4. Number of Subjects Having HbA1c Below 7.0%

    Time frame · Week 52

    Registry description

    Number of subjects achieving HbA1c \<7.0% after 52 weeks. All available data were used for the analysis including data collected after treatment discontinuation and initiation of rescue medication.

  5. Number of Subjects Having HbA1c Maximum 6.5%

    Time frame · Week 26

    Registry description

    Number of subjects achieving HbA1c \<=6.5% after 26 weeks. All available data were used for the analysis including data collected after treatment discontinuation and initiation of rescue medication.

  6. Number of Subjects Having HbA1c Maximum 6.5%

    Time frame · Week 52

    Registry description

    Number of subjects achieving HbA1c \<=6.5% after 52 weeks. All available data were used for the analysis including data collected after treatment discontinuation and initiation of rescue medication.

  7. Number of Subjects Having HbA1c Below 7.0% Without Severe or Minor Hypoglycaemic Episodes

    Time frame · Week 26

    Registry description

    Number of subjects achieving HbA1c \<7.0% without severe or minor hypoglycaemic episodes after 26 weeks. Severe hypoglycaemia: An episode requiring assistance of another person to actively administer carbohydrate, glucagon, or other resuscitative actions. Minor hypoglycaemia was defined as meeting either of the below criteria: 1. an episode with symptoms consistent with hypoglycaemia with confirmation by blood glucose \<2.8 mmol/L (50 mg/dL) or plasma glucose \<3.1 mmol/L (56 mg/dL), and which was handled by the subject him/herself 2. any asymptomatic blood glucose value \<2.8 mmol/L (50 mg/dL) or plasma glucose value \<3.1 mmol/L (56 mg/dL) All available data were used for the analysis including data collected after treatment discontinuation and initiation of rescue medication.

  8. Number of Subjects Having HbA1c Below 7.0% Without Severe or Minor Hypoglycaemic Episodes

    Time frame · Week 52

    Registry description

    Number of subjects achieving HbA1c \<7.0% without severe or minor hypoglycaemic episodes after 52 weeks. Severe hypoglycaemia: An episode requiring assistance of another person to actively administer carbohydrate, glucagon, or other resuscitative actions. Minor hypoglycaemia was defined as meeting either of the below criteria: 1. an episode with symptoms consistent with hypoglycaemia with confirmation by blood glucose \<2.8 mmol/L (50 mg/dL) or plasma glucose \<3.1 mmol/L (56 mg/dL), and which was handled by the subject him/herself 2. any asymptomatic blood glucose value \<2.8 mmol/L (50 mg/dL) or plasma glucose value \<3.1 mmol/L (56 mg/dL) All available data were used for the analysis including data collected after treatment discontinuation and initiation of rescue medication.

  9. Number of Subjects Having HbA1c Below 7.5%

    Time frame · Week 26

    Registry description

    Number of subjects achieving HbA1c \<7.5% after 26 weeks. All available data were used for the analysis including data collected after treatment discontinuation and initiation of rescue medication.

  10. Number of Subjects Having HbA1c Below 7.5%

    Time frame · Week 52

    Registry description

    Number of subjects achieving HbA1c \<7.5% after 52 weeks. All available data were used for the analysis including data collected after treatment discontinuation and initiation of rescue medication.

  11. Change in HbA1c

    Time frame · Week 0, week 52

    Registry description

    Change in HbA1c from baseline to week 52. All available data were used for the analysis, including data collected after treatment discontinuation and initiation of rescue medication.

  12. Change in FPG

    Time frame · Week 0, week 52

    Registry description

    Change in FPG from baseline to week 52. All available data were used for the analysis, including data collected after treatment discontinuation and initiation of rescue medication.

  13. Change in Mean 7-point Self-measured Plasma Glucose

    Time frame · Week 0, week 26

    Registry description

    Change in mean 7-point self-measured plasma glucose after 26 weeks. Subjects were instructed to measure their plasma glucose at following timepoints: before breakfast, 90 minutes after start of breakfast, before lunch, 90 minutes after start of lunch, before dinner, 90 minutes after start of dinner and at bedtime. Mean 7-point SMPG was defined as the area under the profile (calculated using the trapezoidal method) divided by time. All available data were used for the analysis including data collected after treatment discontinuation and initiation of rescue medication.

  14. Change From Baseline in 7-point Self-measured Plasma Glucose

    Time frame · Week 0, week 52

    Registry description

    Change in mean 7-point self-measured plasma glucose after 52 weeks. Subjects were instructed to measure their plasma glucose at following timepoints: before breakfast, 90 minutes after start of breakfast, before lunch, 90 minutes after start of lunch, before dinner, 90 minutes after start of dinner and at bedtime. Mean 7-point SMPG was defined as the area under the profile (calculated using the trapezoidal method) divided by time. All available data were used for the analysis including data collected after treatment discontinuation and initiation of rescue medication.

  15. Change in Post-prandial Increments (From Before Meal to 90 Min After Breakfast, Lunch, and Dinner)

    Time frame · Week 0, week 26

    Registry description

    Change in post-prandial increments (from before meal to 90 min after breakfast, lunch, and dinner) after 26 weeks. Post-prandial increment for each meal (breakfast, lunch, and dinner) was derived from the 7-point SMPG profile as the difference between post-prandial plasma glucose values and the plasma glucose values before the meal. All available data were used for the analysis including data collected after treatment discontinuation and initiation of rescue medication.

  16. Change in Post-prandial Increments (From Before Meal to 90 Min After Breakfast, Lunch, and Dinner)

    Time frame · Week 0, week 52

    Registry description

    Change in post-prandial increments (from before meal to 90 min after breakfast, lunch, and dinner) after 52 weeks. Post-prandial increment for each meal (breakfast, lunch, and dinner) was derived from the 7-point SMPG profile as the difference between post-prandial plasma glucose values and the plasma glucose values before the meal. All available data were used for the analysis including data collected after treatment discontinuation and initiation of rescue medication.

  17. Change in Mean Post-prandial Increment Across All Three Meals (Breakfast, Lunch, and Dinner)

    Time frame · Week 0, week 26

    Registry description

    Change in mean post-prandial increment across all three meals (breakfast, lunch, and dinner) after 26 weeks. Post-prandial increment for each meal (breakfast, lunch, and dinner) was derived from the 7-point SMPG profile as the difference between post-prandial plasma glucose values and the plasma glucose values before the meal. All available data were used for the analysis including data collected after treatment discontinuation and initiation of rescue medication.

  18. Change in Mean Post-prandial Increment Across All Three Meals (Breakfast, Lunch, and Dinner)

    Time frame · Week 0, week 52

    Registry description

    Change in mean post-prandial increment across all three meals (breakfast, lunch, and dinner) after 52 weeks. Post-prandial increment for each meal (breakfast, lunch, and dinner) was derived from the 7-point SMPG profile as the difference between post-prandial plasma glucose values and the plasma glucose values before the meal. All available data were used for the analysis including data collected after treatment discontinuation and initiation of rescue medication.

  19. Change From Baseline in Body Weight

    Time frame · Week 0, week 26

    Registry description

    Change from baseline in body weight after 26 weeks. All available data were used for the analysis including data collected after treatment discontinuation and initiation of rescue medication.

  20. Change From Baseline in Body Weight

    Time frame · Week 0, week 52

    Registry description

    Change from baseline in body weight after 52 weeks. All available data were used for the analysis including data collected after treatment discontinuation and initiation of rescue medication.

Posted results

Values are shown as posted at ClinicalTrials.gov, with their units. PepBank has not converted, pooled or compared them.

Primary outcome results

Primary outcomeLeast squares mean· Week 0, week 26

Change in HbA1c (Glycosylated Haemoglobin)

GroupValue (Percentage of HbA1c)Spread
Liraglutide 1.8 mg-0.6430.215
Placebo0.4150.216
Secondary and other outcome results(7)
Secondary outcomeLeast squares mean· Week 0, week 26

Change From Baseline in Fasting Plasma Glucose (FPG)

GroupValue (mmol/L)Spread
Liraglutide 1.8 mg-1.0760.436
Placebo0.8010.449
Secondary outcomeNumber· Week 26

Number of Subjects Having HbA1c Below 7.0%

GroupValue (Percentage of subjects)
Liraglutide 1.8 mg63.7
Placebo36.5
Secondary outcomeLeast squares mean· Week 0, week 26

Change From Baseline in Body Mass Index (BMI) Standard Deviation Score (SDS)

GroupValue (SDS score)Spread
Liraglutide 1.8 mg-0.2540.039
Placebo-0.2080.039
Secondary outcomeCount of participants· Week 52

Number of Subjects Having HbA1c Below 7.0%

GroupValue (Participants)
Liraglutide 1.8 mg27
Placebo16
Secondary outcomeCount of participants· Week 26

Number of Subjects Having HbA1c Maximum 6.5%

GroupValue (Participants)
Liraglutide 1.8 mg28
Placebo19
Secondary outcomeCount of participants· Week 52

Number of Subjects Having HbA1c Maximum 6.5%

GroupValue (Participants)
Liraglutide 1.8 mg25
Placebo13
Secondary outcomeCount of participants· Week 26

Number of Subjects Having HbA1c Below 7.0% Without Severe or Minor Hypoglycaemic Episodes

GroupValue (Participants)
Liraglutide 1.8 mg31
Placebo21

Adverse events, as posted

Adverse events as posted: participants affected out of participants at risk, by group
GroupDeathsSerious eventsOther events
Liraglutide 1.8 mgAfter the run-in period, subjects were randomized to receive liraglutide subcutaneous injections once daily (in combination with metformin with or without basal insulin, on a background of diet and exercise) for 52 weeks (26 weeks double blind treatment period followed by a 26-week open-label extension period). The liraglutide dosing was started at 0.6 mg/day during the first week and escalated in weekly increments of 0.6 mg over the following 2-3 weeks. Dose escalation was based on tolerability, as judged by the investigator and on the average of three fasting plasma glucose (FPG) measurements performed by the subject at home on the 3 consecutive days before the dose escalation visit being \>6.1 mmol/L (110 mg/dL). Subjects were treated with doses of 0.6, 1.2 or 1.8 after dose escalation. Subjects treated with liraglutide for more than 3 months were asked to return for follow-up visits one and two years after the end of the open label period (after trial drug cessation at week 52).0 / 669 / 6645 / 66
PlaceboAfter the run-in period, subjects were randomized to receive placebo (in combination with metformin with or without basal insulin, on a background of diet and exercise) for a 26 weeks double blind treatment period. The liraglutide placebo was administered once daily subcutaneously in equivalent volume as liraglutide. After 26 weeks, participants discontinued placebo and continued treatment with metformin (with or without basal insulin) during the open-label period.0 / 684 / 6849 / 68
Liraglutide 1.8 mg: Follow-up 1Subjects who received liraglutide for more than 3 months during the treatment period (week 0-52), were followed-up at week 104.0 / 527 / 527 / 52
Liraglutide 1.8 mg: Follow-up 2Subjects who received liraglutide for more than 3 months during the treatment period (week 0-52), were followed-up at week 156.0 / 482 / 481 / 48

Each cell reads participants affected / participants at risk, as the registry posted them.

Registry data comes from ClinicalTrials.gov. Study results come from studies, not from the registry. How PepBank works

Studies2

Studies that cite this trial.

Studies with results

2 studies on this page

Indexing hint: Randomized controlled trial · 2021

4 results

Effect of liraglutide treatment on body mass index and weight parameters in children and adolescents with type 2 diabetes: Post hoc analysis of the ellipse trial.

Bensignor et al. 2021Pediatric obesitycited by 22

PMID 33634589PMC8277686DOI 10.1111/ijpo.12778PUB-33634589

CC BY4 results

Indexing hint: Randomized controlled trial · 2019

6 results

Liraglutide in Children and Adolescents with Type 2 Diabetes.

Tamborlane et al. 2019The New England journal of medicinecited by 272

PMID 31034184DOI 10.1056/nejmoa1903822PUB-31034184

Full text at the publisher6 results

Eligibility

Who could join, as posted.

Sex
All
Age
from 10 Years up to 17 Years
Healthy volunteers
Not accepted
Inclusion and exclusion criteria, as posted
Inclusion Criteria: - Children and adolescents between the ages of 10-16 years. Subjects cannot turn 17 years and 11 months before the end of treatment (52 weeks) - Diagnosis of type 2 diabetes mellitus and treated for at least 30 days with: diet and exercise alone, diet and exercise in combination with metformin monotherapy, diet and exercise in combination with metformin and a stable (Stable is defined as basal insulin adjustments up to 15%) dose of basal insulin, diet and exercise in combination with a stable (Stable is defined as basal insulin adjustments up to 15%) dose of basal insulin - HbA1c: 7.0-11% (inclusive) if diet and exercise treated or 6.5-11% (inclusive) if treated with metformin as monotherapy, basal insulin as monotherapy or metformin and basal insulin in combination - Body mass index (BMI) above 85% percentile of the general age and gender matched population Exclusion Criteria: - Type 1 diabetes - Maturity onset diabetes of the young (MODY) - Use of any antidiabetic agent other than metformin and/or basal insulin within 90 days prior to screening - Recurrent severe hypoglycaemia or hypoglycaemic unawareness as judged by the investigator - History of chronic pancreatitis or idiopathic acute pancreatitis - Any clinically significant disorder, except for conditions associated with type 2 diabetes history which in the investigator's opinion could interfere with results of the trial - Uncontrolled hypertension, treated or untreated above 99th percentile for age and gender in children - Known or suspected abuse of alcohol or drugs/narcotics

PepBank is a research reference. Talk to a doctor before you use any peptide.