Table 1.
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.