Skip to content

Trial · Interventional

CompletedPhase 4Results postedRegistry data

Efficacy in Controlling Glycaemia With Victoza® (Liraglutide) as add-on to Metformin vs. OADs as add-on to Metformin After up to 104 Weeks of Treatment in Subjects With Type 2 Diabetes

Short name LIRA-PRIME

NCTNCT02730377 (opens ClinicalTrials.gov in a new tab)Other idNN2211-4232Other id2015-002417-29Other idU1111-1170-7035Other id2015

Overview

Status
Completed
Phase
Phase 4
Enrollment
1,991 participants (actual)
Sponsor
Novo Nordisk A/S · Industry
Design
Randomized · Open label (no masking)
Countries
10 countries

United States, Canada, Colombia, India, Latvia, Lebanon, Puerto Rico, Russia, Serbia, Turkey (Türkiye)

Start
28 Mar 2016
Primary completion
5 Aug 2019
Completion
12 Aug 2019
First posted
6 Apr 2016 (estimated)
Last update posted
7 Jul 2020
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
20162017201820192020
  1. Ph 4

    LIRA-PRIME

    NCT02730377

    28 Mar 2016 to 12 Aug 2019

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 the trial is to investigate efficacy in controlling glycaemia with Victoza® (liraglutide) as add-on to metformin background treatment vs. OADs as add-on to metformin background treatment for 104 weeks of treatment in subjects with type 2 diabetes.

Interventions

  • liraglutideDrug
  • alpha-glucosidase inhibitorsDrug
  • DPP-4 inhibitorsDrug
  • meglitinidesDrug
  • SGLT-2 inhibitorsDrug
  • sulphonylureaDrug
  • thiazolidinedionesDrug

Arms2

  • Experimental

    Liraglutide 1.8 mg

    Add-on to metformin

  • Active comparator

    OAD

    Add-on to metformin. Treatment with one OAD selected at the discretion of the investigator. Subjects randomised to the OAD arm must remain on the same OAD throughout the trial.

Primary outcomes1

Outcomes the sponsor listed as primary.

  1. Time to Inadequate Glycaemic Control

    Time frame · Weeks 26-104

    Registry description

    Inadequate glycaemic control was defined as glycosylated haemoglobin (HbA1c) of 7.0% (53 mmol/mol) or greater at two consecutive visits after the first 26 weeks of treatment and up to 104 weeks. 25%, median (50%) and 75% percentiles for the cumulative distribution function, are obtained from the Kaplan-Meier survival function. HbA1c was recorded at weeks 38, 52, 65, 78, 91 and 104.

Secondary outcomes(20)
  1. Time to Premature Treatment Discontinuation (for Any Reason Including Inadequate Glycaemic Control)

    Time frame · Weeks 0-104

    Registry description

    The time to premature treatment discontinuation (for any reason including inadequate glycaemic control) was analysed and presented using the generalised log rank test. 25%, median (50%) and 75% percentiles for the cumulative distribution function, are obtained from the Kaplan-Meier survival function.

  2. Change in HbA1c

    Time frame · Week 0, week 104/premature treatment discontinuation

    Registry description

    Change from baseline (week 0) in HbA1c at week 104 or at premature treatment discontinuation is presented.

  3. Participants Who Achieve HbA1c ≤6.5% (Yes/No)

    Time frame · Week 104/Premature treatment discontinuation

    Registry description

    Participants who achieved HbA1c ≤6.5% (yes/no) is presented.

  4. Participants Who Achieve HbA1c ≤7.0% Without Weight Gain

    Time frame · Week 104/Premature treatment discontinuation

    Registry description

    Participants who achieved HbA1c ≤7.0% without weight gain (yes/no) is presented.

  5. Participants Who Achieve HbA1c ≤7.0% Without Treatment Emergent Severe Hypoglycaemic Episodes or BG Confirmed Symptomatic Hypoglycaemic Episodes

    Time frame · Week 104/Premature treatment discontinuation

    Registry description

    Severe or blood glucose (BG) confirmed symptomatic hypoglycaemic episodes were defined as episodes that were severe according to the American Diabetes Association (ADA) classification (required assistance of another person to actively administer carbohydrate, glucagon, or take other corrective actions) or BG confirmed by a plasma glucose value \<3.1 millimoles per liter (mmol/L) with symptoms consistent with hypoglycaemia. Hypoglycaemic episodes were defined as treatment-emergent if the onset of the episode occurred on or after the first day of trial product administration, and no later than the day after the last day on trial product. Participants who achieved HbA1c ≤7.0% without treatment emergent severe hypoglycaemic episodes or BG confirmed symptomatic hypoglycaemic episodes (yes/no) is presented.

  6. Participants Who Achieve HbA1c ≤7.0% Without Weight Gain and no Treatment Emergent Severe Hypoglycaemic Episodes or Blood Glucose Confirmed Symptomatic Hypoglycaemic Episodes

    Time frame · Week 104/Premature treatment discontinuation

    Registry description

    Severe or BG confirmed symptomatic hypoglycaemic episodes were defined as episodes that were severe according to the ADA classification (required assistance of another person to actively administer carbohydrate, glucagon, or take other corrective actions) or BG confirmed by a plasma glucose value \<3.1 mmol/L with symptoms consistent with hypoglycaemia. Hypoglycaemic episodes were defined as treatment-emergent if the onset of the episode occurred on or after the first day of trial product administration, and no later than the day after the last day on trial product. Participants who achieved HbA1c ≤7.0% without weight gain and no treatment emergent severe hypoglycaemic episodes or BG confirmed symptomatic hypoglycaemic episodes (yes/no) is presented.

  7. Change in Fasting Plasma Glucose (FPG)

    Time frame · Week 0, week 104/premature treatment discontinuation

    Registry description

    Change from baseline (week 0) in FPG at week 104 or at premature treatment discontinuation is presented.

  8. Change in Body Weight

    Time frame · Week 0, week 104/premature treatment discontinuation

    Registry description

    Change from baseline (week 0) in body weight at week 104 or at premature treatment discontinuation is presented.

  9. Change in Body Mass Index (BMI)

    Time frame · Week 0, week 104/premature treatment discontinuation

    Registry description

    Change from baseline (week 0) in BMI at week 104 or at premature treatment discontinuation is presented.

  10. Change in Blood Pressure (Systolic and Diastolic Blood Pressure)

    Time frame · Week 0, week 104/premature treatment discontinuation

    Registry description

    Change from baseline (week 0) in systolic and diastolic blood pressure at week 104 or at premature treatment discontinuation is presented.

  11. Number of Severe Hypoglycaemic Episodes

    Time frame · Weeks 0-104

    Registry description

    Severe hypoglycaemic episodes were defined as episodes that required assistance of another person to actively administer carbohydrate, glucagon, or take other corrective actions. Number of severe hypoglycaemic episodes that occured during weeks 0-104 are presented.

  12. Number of Severe or BG Confirmed Symptomatic Hypoglycaemic Episodes

    Time frame · Weeks 0-104

    Registry description

    Severe or BG confirmed symptomatic hypoglycaemic episodes were defined as episodes that were severe according to the ADA classification (required assistance of another person to actively administer carbohydrate, glucagon, or take other corrective actions) or BG confirmed by a plasma glucose value \<3.1 mmol/L with symptoms consistent with hypoglycaemia. Number of severe or BG confirmed symptomatic hypoglycaemic episodes that occured during weeks 0-104 are presented.

  13. Number of Documented Symptomatic Hypoglycaemic Episodes (ADA)

    Time frame · Weeks 0-104

    Registry description

    Documented symptomatic hypoglycaemic were defined as episodes with typical symptoms of hypoglycaemia accompanied by measure plasma glucose concentration \<= 3.9 mmol/L. Number of documented symptomatic hypoglycaemic episodes that occured during the weeks 0-104 are presented.

  14. Number of Serious Adverse Events (SAEs)

    Time frame · Weeks 0-105

    Registry description

    A serious adverse event (SAE) was defined as any event that resulted in any of the following: death, life-threatening experience, in-patient hospitalisation or prolongation of existing hospitalisation, persistent or significant disability or incapacity, congenital anomaly or birth defect or suspicion of transmission of infectious agents via the trial product. An SAE was considered as treatment emergent if it had an onset or increase in severity on or after the time of first trial product administration and no later than 7 days after the time of last trial product administration. Number of treatment emergent serious adverse events are presented.

  15. Number of AEs Leading to Permanent Discontinuation of Trial Product

    Time frame · Weeks 0-105

    Registry description

    An adverse event (AE) was any untoward medical occurrence in a participant who administered a product, and which did not necessarily had a causal relationship with this treatment. An AE was considered as treatment emergent if it had an onset or increase in severity on or after the time of first trial product administration and no later than 7 days after the time of last trial product administration. Number of treatment emergent AEs that led to permanent discontinuation of trial product are presented.

  16. Change in Lipids: HDL Cholesterol, LDL-cholesterol, Total Cholesterol, Triglycerides

    Time frame · Week 0, week 104/premature treatment discontinuation

    Registry description

    Change from baseline (week 0) in high-density lipoprotein (HDL) cholesterol, low-density lipoprotein (LDL) cholesterol, total cholesterol (TC) and triglycerides (TG) at week 104 or at premature treatment discontinuation is presented.

  17. Change in Biochemistry- Alanine Aminotransferase (ALAT), Amylase, Aspartate Aminotransferase (ASAT), Lipase

    Time frame · Week 0, week 104/premature treatment discontinuation

    Registry description

    Change from baseline (week 0) in alanine aminotransferase (ALAT), amylase, aspartate aminotransferase (ASAT) and lipase at week 104 or at premature treatment discontinuation is presented.

  18. Change in Biochemistry- Creatinine, Total Bilirubin

    Time frame · Week 0, week 104/premature treatment discontinuation

    Registry description

    Change from baseline (week 0) in creatinine and total bilirubin (TB) at week 104 or at premature treatment discontinuation is presented.

  19. Change in Biochemistry- Estimated Glomerular Filtration Rate (eGFR) Serum

    Time frame · Week 0, week 104/premature treatment discontinuation

    Registry description

    The estimated GFR was derived from serum creatinine using the MDRD (Modification of diet in renal disease) formula. eGFR was measured as milliliter per min per specific surface area (mL/min/SSA).

  20. Change in Potassium

    Time frame · Week 0, week 104/premature treatment discontinuation

    Registry description

    Change from baseline (week 0) in potassium at week 104 or at premature treatment discontinuation is presented.

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 outcomeMedian· Weeks 26-104

Time to Inadequate Glycaemic Control

GroupValue (Weeks)
Liraglutide 1.8 mg108.9
Oral Antidiabetic Drug64.9
Secondary and other outcome results(7)
Secondary outcomeMedian· Weeks 0-104

Time to Premature Treatment Discontinuation (for Any Reason Including Inadequate Glycaemic Control)

GroupValue (Weeks)
Liraglutide 1.8 mg80.4
Oral Antidiabetic Drug52.3
Secondary outcomeMean· Week 0, week 104/premature treatment discontinuation

Change in HbA1c

GroupValue (Percentage point of HbA1c)Spread
Liraglutide 1.8 mg-1.41.06
Oral Antidiabetic Drug-1.11.04
Secondary outcomeCount of participants· Week 104/Premature treatment discontinuation

Participants Who Achieve HbA1c ≤6.5% (Yes/No)

GroupValue (Participants)
Liraglutide 1.8 mg255
Oral Antidiabetic Drug162
Secondary outcomeCount of participants· Week 104/Premature treatment discontinuation

Participants Who Achieve HbA1c ≤7.0% Without Weight Gain

GroupValue (Participants)
Liraglutide 1.8 mg329
Oral Antidiabetic Drug234
Secondary outcomeCount of participants· Week 104/Premature treatment discontinuation

Participants Who Achieve HbA1c ≤7.0% Without Treatment Emergent Severe Hypoglycaemic Episodes or BG Confirmed Symptomatic Hypoglycaemic Episodes

GroupValue (Participants)
Liraglutide 1.8 mg388
Oral Antidiabetic Drug292
Secondary outcomeCount of participants· Week 104/Premature treatment discontinuation

Participants Who Achieve HbA1c ≤7.0% Without Weight Gain and no Treatment Emergent Severe Hypoglycaemic Episodes or Blood Glucose Confirmed Symptomatic Hypoglycaemic Episodes

GroupValue (Participants)
Liraglutide 1.8 mg320
Oral Antidiabetic Drug227
Secondary outcomeMean· Week 0, week 104/premature treatment discontinuation

Change in Fasting Plasma Glucose (FPG)

GroupValue (Millimoles per liter (mmol/L))Spread
Liraglutide 1.8 mg-2.22.65
Oral Antidiabetic Drug-1.22.46

Adverse events, as posted

Adverse events as posted: participants affected out of participants at risk, by group
GroupDeathsSerious eventsOther events
Liraglutide 1.8 mgParticipants were to receive a subcutaneous injection of liraglutide once daily. Participants received 0.6 milligrams (mg) liraglutide during the first week. The dose was escalated in weekly increments of 0.6 mg until the dose of 1.8 mg was reached. The treatment period was 104 weeks.1 / 98092 / 98065 / 980
Oral Antidiabetic DrugParticipants were to receive one selected OAD. The following OADs were allowed: alpha-glucosidase inhibitors, dipeptidyl peptidase-4 (DPP-4) inhibitors, meglitinides, sodium-glucose co-transporter-2 (SGLT-2) inhibitors, sulfonylureas or thiazolidinediones. The treatment period was 104 weeks.8 / 98481 / 98415 / 984

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

1 study on this page

Indexing hint: Meta-analysis (pooled) · 2025

15 results

Glucagon-like peptide 1 (GLP-1) receptor agonists for people with chronic kidney disease and diabetes.

Natale et al. 2025The Cochrane database of systematic reviewscited by 8

PMID 39963952PMC11834151DOI 10.1002/14651858.cd015849.pub2PUB-39963952

Rights unknown15 results

Indexing hint: Clinical trial · 2019

Trial design and baseline data for LIRA-PRIME: A randomized trial investigating the efficacy of liraglutide in controlling glycaemia in type 2 diabetes in a primary care setting.

Unger et al. 2019Diabetes, obesity & metabolismcited by 4

PMID 30828917PMC6617804DOI 10.1111/dom.13682PUB-30828917

Free to read · publisher termsCC BY-NC
Read at source

Eligibility

Who could join, as posted.

Sex
All
Age
from 18 Years
Healthy volunteers
Not accepted
Inclusion and exclusion criteria, as posted
Inclusion Criteria: - Male or female at least 18 years of age at the time of signing informed consent - Subjects diagnosed (clinically) with type 2 diabetes equal to or above 90 days prior to the screening visit - Stable daily dose of metformin as monotherapy equal to or above 1500 mg or maximum tolerated dose within 60 days prior to the screening visit - HbA1c 7.5-9.0% (59-75 mmol/mol) (both inclusive) and measured within the last 90 days prior to the screening visit Exclusion Criteria: - Female who is pregnant, breast-feeding or intends to become pregnant or is of childbearing potential and not using adequate contraceptive methods (adequate contraceptive measures as required by local regulation or practice) - Treatment with any medication for the indication of diabetes other than metformin in a period of 60 days before the screening visit. An exception is short-term treatment (below or equal to 7 days in total) with insulin in connection with intercurrent illness - Receipt of any investigational medicinal product within 30 days before the screening visit - Any disorder, which in the investigator's opinion might jeopardise subject's safety or compliance with the protocol

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