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. 2020 Sep 10;45(Suppl 1):28–42. doi: 10.1111/jcpt.13224

Table 1.

Key Phase 3 trials of QW GLP‐1 RAs included in this review

Trial name Study design Treatment interventions Study duration Primary endpoint Permitted concomitant treatments
DURATION‐1 16 Randomized, comparator‐controlled, open‐label Exenatide ER 52 weeks Change from baseline in HbA1c at Week 52 SU
DURATION‐2 70 Randomized, double‐blind Exenatide ER, sitagliptin, pioglitazone 26 weeks Change from baseline in HbA1c at Week 26 Metformin, ± SU
DURATION‐3 79 Randomized, open‐label Exenatide ER 26 weeks Change from baseline in HbA1c at Week 26 Metformin, ± SU
DURATION‐4 31 Randomized, double‐blind Exenatide ER, metformin, pioglitazone, sitagliptin 26 weeks Change from baseline in HbA1c at Week 26 None
DURATION‐5 37 Randomized, open‐label, comparator‐controlled Exenatide ER, exenatide (BID) 24 weeks Change from baseline in HbA1c at Week 24 Metformin, SU, TZD, or a combination of these
DURATION‐6 38 Open‐label, randomized, parallel group Exenatide ER, liraglutide (QD) 26 weeks Change from baseline in HbA1c at Week 26 Metformin, SU, metformin + SU, or metformin + pioglitazone
DURATION‐7 27 Randomized, double‐blind, parallel group, placebo‐controlled Exenatide ER, placebo 28 weeks Change from baseline HbA1c at Week 28 Insulin glargine ± (metformin ± SU)
DURATION‐8 59 Randomized, double‐blind, active‐controlled Exenatide ER, dapagliflozin, exenatide ER + dapagliflozin 28 weeks Change from baseline in HbA1c at Week 28 Metformin
DURATION‐NEO‐2 26 Randomized, open‐label, active‐ and placebo‐controlled Exenatide ER AI, sitagliptin, placebo 28 weeks Change from baseline in HbA1c at Week 28 Metformin
EXSCEL 28 Randomized, double‐blind, placebo‐controlled Exenatide ER, placebo Event driven (median follow‐up 3.2 years) First occurrence of MACE in a time‐to‐event analysis ≤3 OADs, or ≤2 OADS + insulin
AWARD‐1 15 Randomized, blinded, parallel group and placebo‐controlled Dulaglutide, exenatide, placebo 52 weeks Change from baseline in HbA1c at Week 26 Pioglitazone and metformin
AWARD‐2 78 Randomized, open‐label (double‐blind to dulaglutide dose), comparator‐controlled Dulaglutide, insulin glargine 78 weeks Change from baseline in HbA1c at Week 52 Metformin and glimepiride
AWARD‐3 30 Randomized, double‐blind, double‐dummy, parallel group Dulaglutide, metformin 52 weeks Change from baseline in HbA1c at Week 26 None
AWARD‐4 50 Randomized, open‐label Dulaglutide, insulin glargine 52 weeks Change from baseline in HbA1c at Week 26 Insulin lispro, with or without metformin
AWARD‐5 69 Randomized, double‐blind, adaptive, parallel group Dulaglutide, sitagliptin 52 weeks Change from baseline in HbA1c at Week 52 Metformin
AWARD‐6 36 Randomized, open‐label Dulaglutide, liraglutide 26 weeks Change from baseline in HbA1c at Week 26 Metformin
AWARD‐7 9 Open‐label, randomized, parallel group Dulaglutide, insulin glargine 52 weeks Change from baseline in HbA1c at Week 26 Insulin lispro
AWARD‐8 24 Randomized, double‐blind, placebo‐controlled, parallel group Dulaglutide, placebo 24 weeks Change from baseline in HbA1c at Week 24 Glimepiride
AWARD‐9 25 Randomized, double‐blind, placebo‐controlled, parallel group Dulaglutide, placebo 28 weeks Change from baseline in HbA1c at Week 28 Insulin glargine ± metformin
AWARD‐10 54 Randomized, double‐blind, placebo‐controlled, parallel group Dulaglutide, placebo 24 weeks Change from baseline in HbA1c at Week 24 SGLT2is ± metformin
REWIND 7 Randomized, double‐blind, placebo‐controlled Dulaglutide, placebo Event driven, follow‐up of up to 8 years (median follow‐up 5.4 years) First occurrence of MACE Antihyperglycaemic therapies excluding DPP4is or GLP‐1 RAs
SUSTAIN 1 8 Randomized, double‐blind, parallel group Semaglutide s.c., placebo 30 weeks Change from baseline in HbA1c at Week 30 Metformin, OADs excluding GLP‐1 RAs or DDP4is
SUSTAIN 2 71 Randomized, double‐blind, double‐dummy, active‐controlled, parallel group Semaglutide s.c., sitagliptin 56 weeks Change from baseline in HbA1c at Week 56 Metformin, TZDs, Metformin + TZDs
SUSTAIN 3 39 Randomized, open‐label, active comparator‐controlled, parallel group Semaglutide s.c., exenatide ER 56 weeks Change from baseline in HbA1c at Week 56 Metformin ± TZDs/SUs
SUSTAIN 4 80 Randomized, open‐label, active‐controlled, parallel group Semaglutide s.c., insulin glargine 30 weeks Change from baseline in HbA1c at Week 30 Metformin, SU
SUSTAIN 5 29 Randomized, double‐blind, placebo‐controlled, parallel group Semaglutide s.c., placebo 30 weeks Change from baseline in HbA1c at Week 30 Basal insulin ± metformin
SUSTAIN 6 6 Randomized, double‐blind, placebo‐controlled, parallel group Semaglutide s.c., placebo Event driven, Median follow‐up of 2.1 years First occurrence of MACE over 2.1 years ≤2 OADs ± basal or premixed insulin (no incretin‐based medications were allowed)
SUSTAIN 7 40 Randomized, open‐label, active‐controlled, parallel group Semaglutide s.c., dulaglutide 40 weeks Change from baseline in HbA1c at Week 40 Metformin
SUSTAIN 8 Randomized, double‐blind comparator‐controlled parallel group Semaglutide s.c., canagliflozin 52 weeks Change from baseline in HbA1c at Week 52 Metformin
SUSTAIN 9 55 Randomized, placebo‐controlled, double‐blind, parallel group Semaglutide s.c., placebo 30 weeks Change from baseline in HbA1c at Week 30 Metformin, SGLT2is, SUs
SUSTAIN 10 35 Randomized, open‐label Semaglutide s.c., liraglutide 30 weeks Change from baseline in HbA1c at Week 30 1–3 OADs

Abbreviations: BID, twice‐daily; DPP4i, dipeptidyl peptidase‐4 inhibitor; exenatide ER, exenatide extended‐release; exenatide ER AI, exenatide ER auto‐injectable; GLP‐1 RA, glucagon‐like peptide‐1 receptor agonist; HbA1c, glycated haemoglobin; MACE, major cardiovascular adverse events; OAD, oral anti‐diabetic; QD, once‐daily; QW, once‐weekly; s.c., subcutaneous; SGLT2i, sodium‐glucose cotransporter‐2 inhibitor; SU, sulphonylurea; TZD, thiazolidinedione.